Individual provider Active NPI

Augusto Rodriguez, M.D.

  • Family Medicine Physician
  • Bellflower, CA
National Provider Identifier
1013924802
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45415 Issued in CA
Practice address
10234 Rosecrans Ave
Bellflower, CA 90706-2602
Phone
(562) 920-1632
Fax
(562) 920-4643
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G45415 CA
Family Medicine Physician 207Q00000X 45415 CA Primary

Addresses

Primary practice location

10234 Rosecrans Ave
Bellflower, CA 90706-2602

Mailing address

75 Remittance Dr Dept 6008
Chicago, IL 60675-6008
Phone (562) 282-1419

Other identifiers 3

IdentifierTypeStateIssuer
080179425OtherCARAILROAD MEDICARE
00G454150MedicaidCA
00G454150OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110223000295 CA Practitioner - Family PracticePractitioner - Otolaryngology 7214118330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G45415CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Medical Group Inc. CurrentSince Oct 1, 2000 Accepting new patients
Pih Health Physicians Family Medicine Current Accepting new patients
Pih Health Physicians CurrentSince Jul 1, 2020 Accepting new patients
Pih Health Physicians CurrentSince Jul 1, 2020 Accepting new patients

Locations

10234 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 920-1632

11411 Brookshire Ave
Downey, CA 90241
Phone (562) 862-4566

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

2220 Clark Ave
Long Beach, CA 90815
Phone (562) 597-4181

6557 Greenleaf Ave
Whittier, CA 90601
Phone (562) 789-5401

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1013924802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DR DEPT 6008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606756008",
            "telephone_number": "562-282-1419",
            "fax_number": "562-920-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10234 ROSECRANS AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907062602",
            "telephone_number": "562-920-1632",
            "fax_number": "562-920-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "AUGUSTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G45415",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "45415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080179425",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G454150",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G454150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

Verify at the official NPI Registry.