Leonel L Rodriguez MD a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LEONEL L RODRIGUEZ MD A MEDICAL CORPORATION

Practice address

205 N 1St St Ste C
Blythe, CA 92225-1777

Phone

(760) 922-8330

Fax

(760) 922-8320

NPI assigned

Jun 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Leonel Lamon Rodriguez, MDNPI 1912098872

Title

Physician

Phone

(760) 922-8330

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leonel L Rodriguez, MD

  • Family Medicine Physician
  • Blythe, CA
  • NPI 1912098872
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1033346994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N 1ST ST STE C",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251777",
            "telephone_number": "760-922-8330",
            "fax_number": "760-922-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N 1ST ST STE C",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251777",
            "telephone_number": "760-922-8330",
            "fax_number": "760-922-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONEL L RODRIGUEZ MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LEONEL",
        "authorized_official_middle_name": "LAMON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "760-922-8330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A546001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Joseph Lasley, RC
• Barbara J. Lawrence
• Don H. Lee, D.D.S.
• Michelle Elise Lemay-Humble, PTA
• Leon Peter Y. Chua, M.D.
• Janet Lewis
• Pilar Lewis
• Tai Liao, D.D.S.
• Adrian Linares, RAS
• Angela Jean Linares

• Family Medicine Physician in Blythe, CA
• Providers in Blythe, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.