Individual provider Active NPI

Lisa Teresa Rodriguez

  • Speech-Language Pathologist
  • Chula Vista, CA
National Provider Identifier
1053222075
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10989 Issued in CA
Practice address
744 Shoreline Rd
Chula Vista, CA 91910-1433
Phone
(619) 886-6100
NPI assigned
Sep 16, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10989 CA Primary

Addresses

Primary practice location

744 Shoreline Rd
Chula Vista, CA 91910-1433

Mailing address

744 Shoreline Rd
Chula Vista, CA 91910-1433
Phone (619) 886-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1053222075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 SHORELINE RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919101433",
            "telephone_number": "619-886-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 SHORELINE RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919101433",
            "telephone_number": "619-886-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LISA",
        "middle_name": "TERESA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "10989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.