Rio del Mar Medical Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G77669 Issued in CA

Legal business name

RIO DEL MAR MEDICAL CLINIC

Practice address

10 W 5TH St
Watsonville, CA 95076-4202

Phone

(831) 722-4016

Fax

(831) 722-8048

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elias S Rodriguez, M.D.NPI 1730295395

Title

Owner

Phone

(831) 722-4016

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Rio del Med CT2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elias S Rodriguez MD

  • Internal Medicine Physician
  • Salinas, CA
  • NPI 1649672767
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Elias S Rodriguez MD

  • Internal Medicine Physician
  • Salinas, CA
  • NPI 1649672767
  NPPES parent name

Practitioners 1

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

• Elias S Rodriguez, MD

  • Internal Medicine Physician
  • Watsonville, CA
  • NPI 1730295395
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1073726246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W 5TH ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764202",
            "telephone_number": "831-722-4016",
            "fax_number": "831-722-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W 5TH ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764202",
            "telephone_number": "831-722-4016",
            "fax_number": "831-722-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO DEL MAR MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-722-4016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G77669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilibaldo Reyes, PA-C
• Mireya Reyna-Rincon
• Laura Richards
• Maribeth Riday, RN, MSN, RDH
• Isaac Rigler
• Guillermina Rivera Espinoza
• Esmeralda Rivera Luna
• Margarita Rivera-Swank, MFC
• Vanessa Rizo
• Joseph Wallace Robb III, D.D.S.

• Internal Medicine Physician in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.