RENEE M. SODERQUIST RD
NPI 1124280557
Dietitian, Registered in Fullerton, CA

Q: What is Renee Soderquist's NPI number?

The NPI number for Renee Soderquist is 1124280557. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Q: What is Renee Soderquist's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Renee Soderquist was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 26, 2008Accepts Medicare Assignment

100 E VALENCIA MESA DR, SUITE 105, FULLERTON, CA 92835(714) 446-5640(714) 446-5625 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Renee M. Soderquist Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEE M. SODERQUIST RD (NPI 1124280557) is an individual dietitian, registered in Fullerton, California, licensed in California (R711364) and active in the NPI registry since June 2008. She is a graduate of Other (2006).

NPPES Registry Identity

NPI1124280557

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameRENEE M. SODERQUISTCredential: RD

Location Address100 E VALENCIA MESA DR, SUITE 105Fullerton, CA 92835-3813

Mailing Address100 E Valencia Mesa Dr, Suite 105Fullerton, CA 92835-3813 · (714) 446-5640 · Fax (714) 446-5625

Phone(714) 446-5640

Fax(714) 446-5625

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJune 26, 2008

Last NPPES UpdateNovember 15, 2018

✔ NPI 1124280557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in CA · R711364

Definition

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.

100 E VALENCIA MESA DR, Fullerton, CA 92835

Open in Google Maps ↗

Other Identifiers 1

OtherR711364CA · Rd Lic Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Renee M. Soderquist Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870785124

PECOS Enrollment IDI20101005001286

Medicare Billing Reassignment

Medicare enrollment records show Renee Soderquist reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Medical Foundation

1.9 mi

Family Medicine

955 W IMPERIAL HWY STE 110
Brea, CA 92821

Reassigned Medicare billing, California enrollment
1,699 clinicians in this Medicare group

NPI 1871607762 (714) 449-4900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92835 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $62.96 – $187.60

Typical copayment $0.00 (range $15.74 – $46.90)

Most-billed visit code NA

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW TIEN DUKE M.D.

Internal Medicine (Critical Care Medicine)

100 E VALENCIA MESA DR
FULLERTON, CA 92835

Orange County (714) 992-3969

BOWEN JIANG M.D.

Neurological Surgery

100 E VALENCIA MESA DR
FULLERTON, CA 92835

Orange County (714) 734-3120

CHIKA KAWASHIMA

Physician Assistant

100 E VALENCIA MESA DR, SUITE 310
FULLERTON, CA 92835

Orange County (714) 446-5527

MONICA MARTYN RD

Dietitian, Registered

100 E VALENCIA MESA DR, SUITE 111
FULLERTON, CA 92835

Orange County (714) 446-5369

BENJAMIN ROTHMAN A PHARMACY CORPORATION

Pharmacy (Community/Retail Pharmacy)

100 E VALENCIA MESA DR, SUITE 106
FULLERTON, CA 92835

Orange County (714) 992-1234

EUGENE BYUN MD

Internal Medicine (Interventional Cardiology)

100 E VALENCIA MESA DR, SUITE 206
FULLERTON, CA 92835

Orange County (714) 446-5050

DENNIS WAYNE BRILEY PA

Physician Assistant (Surgical)

100 E VALENCIA MESA DR, SUITE 105
FULLERTON, CA 92835

Orange County (714) 446-5200

ARTHUR D ZEPEDA MD

Pain Medicine (Pain Medicine)

100 E VALENCIA MESA DR, SUITE 310
FULLERTON, CA 92835

Orange County (714) 446-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renee Soderquist's NPI number?

The NPI number for Renee Soderquist is 1124280557. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Renee Soderquist located?

Renee Soderquist practices at 100 E Valencia Mesa Dr Suite 105, Fullerton, CA 92835. The listed phone number is (714) 446-5640.

What is Renee Soderquist's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Renee Soderquist enrolled in Medicare?

Yes. Renee Soderquist is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Renee Soderquist's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renee Soderquist reassigns Medicare benefits to Providence Medical Foundation (Brea, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Renee Soderquist's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Renee Soderquist was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.