Active NPI
Victor Ernest Pazmino Rodriguez II, FNP
- Family Nurse Practitioner
- Anaheim, CA
National Provider Identifier
1093107732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95015577
- Practice address
- 330 E Orangewood Ave
Anaheim, CA 92802-4313 - Phone
- (714) 716-2584
- NPI assigned
- Mar 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95015577 | CA | Primary |
| Family Health Clinical Nurse Specialist | 364SF0001X | 95015577 | CA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN827983 | CA |
Addresses
Primary practice location
330 E Orangewood Ave
Anaheim, CA 92802-4313
Mailing address
1208 N Jefferson St
Placentia, CA 92870-4008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN827983 | CA | MD | Psychiatric/Mental Health Registered Nurse |
| 95015577 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Roads Foundation, Inc. | Current | Accepting new patients | |
| St. Jude Neighborhood Health Centers | Past | Accepting new patients |
Locations
121 S Long Beach Blvd
Compton, CA 90221
Phone (310) 627-5850
4800 E Los Coyotes Diagonal
Long Beach, CA 90815
Phone (310) 627-5850
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFCDAD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Health Clinic/Center
- Compton, CA
- NPI 1508278359
-
- Primary Care Clinic/Center
- Apple Valley, CA
- NPI 1316572563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1093107732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 N JEFFERSON ST",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928704008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E ORANGEWOOD AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928024313",
"telephone_number": "714-716-2584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "VICTOR",
"middle_name": "ERNEST PAZMINO",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-03",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95015577",
"primary": true
},
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "CA",
"license": "95015577",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "RN827983",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.