Organization Active NPI

Roderick a Comunale II MD Inc

  • Nephrology Physician
  • National City, CA
National Provider Identifier
1033172002
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A43885 Issued in CA
Legal business name
RODERICK A COMUNALE II MD INC
Practice address
502 Euclid Ave Ste 205
National City, CA 91950-2993
Phone
(858) 551-0276
Fax
(848) 454-9796
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Dr. Roderick A Comunale, MDNPI 1568462109
Title
Owner
Phone
(858) 551-0276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X A43885 CA Primary

Addresses

Primary practice location

502 Euclid Ave Ste 205
National City, CA 91950-2993

Mailing address

PO Box 1188
La Jolla, CA 92038-1188
Phone (858) 551-0276

Other identifiers 2

IdentifierTypeStateIssuer
00A438851MedicaidCA
00A438850MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121212000096 CA Part B Supplier - Clinic/Group Practice 8628227816 Receives reassigned benefits from 1 practitioner
Practice locations: National City, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2023200Roderick a Comunale II MD Inc502 Euclid Ave Ste 205, National City, CA 91950Certificate of waiverApr 17, 2027

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

2082 Otay Lakes Rd
Ste 101
Chula Vista, CA 91913
Phone (619) 482-8207

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1033172002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1188",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920381188",
            "telephone_number": "858-551-0276",
            "fax_number": "858-454-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 EUCLID AVE STE 205",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502993",
            "telephone_number": "858-551-0276",
            "fax_number": "848-454-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODERICK A COMUNALE II MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "COMUNALE",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-551-0276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A43885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A438851",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A438850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.