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Active NPI 1124280557 Individual Practitioner Female Practitioner

Renee M. Soderquist , RD

Dietitian, Registered • Fullerton, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Renee Soderquist, RD is a certified Dietitian, Registered practicing in Fullerton, CA. With approximately 20 years of clinical experience since completing medical education in 2006, Renee Soderquist delivers high-quality medical care to the local community at 100 E VALENCIA MESA DR.

Renee Soderquist is affiliated with Providence Medical Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include therapy procedure reassessment for nutrition management, each, medical nutrition therapy, assessment and intervention, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 E Valencia Mesa Dr
Suite 105

Fullerton, CA 928353813

Telephone 7144465640
Fax 7144465625
Associated Practice Facility / Clinic
🏢 Norman J Harris Mda Prof Corp Facility NPI 1194784553

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Fullerton, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs -0.5 yrs vs City Avg
City Avg: 20.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
20 Specialists

Practicing in Fullerton, CA (7235 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
64.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Soderquist (20 Years) 20 Yrs
Fullerton Specialty Average (20.5 Years) 20.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97803 Therapy procedure reassessment for nutrition management, each 15 minutes
55 13 $85.73 $30.69

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License CA R711364

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rd Lic Number
R711364 (CA)

Hospital & Practice Group Affiliations

Providence Medical Foundation

955 W Imperial Hwy, Brea, CA 928213812

Providence Medical Foundation

1950 Sunny Crest Dr, Fullerton, CA 928353641

Phone: 7149925350

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Michael Kuo , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1033593744

Doctor of Medicine (M.D.)

Dr. Jason Ling , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1154664597

Doctor of Medicine (M.D.)

Dr. Serhat Aytug , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1194707471

Doctor of Medicine (M.D.)

Dr. Becky Muldoon , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1316272180

Doctor of Medicine (M.D.)

Susan Watkins , RD

Dietitian, Registered

NPI 1376857383

Registered Dietitian

Dr. John Gilbert , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1588650667

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2014

Registered at 100 E VALENCIA MESA DR, SUITE 105, FULLERTON, CA 928353813 (Tel: 7144465640)

📍
Updated Business Mailing Address April 22, 2014

Registered at 100 E VALENCIA MESA DR, SUITE 105, FULLERTON, CA 928353813 (Tel: 7144465640)

👤
Provider Name / Credentials Updated April 22, 2014

Recorded as RENEE SODERQUIST, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2014

Dietitian, Registered (License #R711364 in CA)

🟢
Initial NPI Registration & Enumeration June 26, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124280557
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2008
Last Update: November 15, 2018
Sole Proprietor: No

Mailing Address

100 E Valencia Mesa Dr, Suite 105

Fullerton, CA 928353813

Phone: 7144465640

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.