Roxana Ivette Rodriguez, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

22190 Marine Dr
Oceanside, CA 92058

Phone

(760) 725-5188

NPI assigned

May 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1073135836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22190 MARINE DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22190 MARINE DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92058",
            "telephone_number": "760-725-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ROXANA",
        "middle_name": "IVETTE",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roxana.i.rodriguez.mil@mail.mil",
            "affiliation": "N",
            "address_1": "22190 marine dr",
            "city": "oceanside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cecilia Rodriguez, LPCC
• Devyn Crawford Rodriguez, APCC
• Guadalupe Rodriguez
• Jennifer L Rodriguez, PT
• Jessica Rodriguez
• Sandra Aurora Rodriguez, FNP
• Sloane Roeser, PT, DPT
• Roger P. Moynihan and Amy Jessel Moynihan
• Rogers and Reagan Dental Corporation
• Alex Rogers

• Independent Duty Corpsman in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.