Active NPI
Fernando Rodriguez, D.C.
- Chiropractor
- Mission Hills, CA
National Provider Identifier
1144263682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC30071
- Practice address
- 10200 Sepulveda Blvd Ste 140
Mission Hills, CA 91345-3323 - Phone
- (818) 612-8229
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC30071 | CA | Primary |
Addresses
Primary practice location
10200 Sepulveda Blvd Ste 140
Mission Hills, CA 91345-3323
Mailing address
10200 Sepulveda Blvd Ste 140
Mission Hills, CA 91345-3323
Phone (818) 612-8229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060420000682 | CA | Practitioner - Chiropractic | 7719996693 | Practice locations: Chatsworth, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
20956 Itasca St
Chatsworth, CA 91311-4915
Phone (818) 612-8229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC30071 | CA | MD | Chiropractor |
| 30071 | CA | MD | Pharmacist |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1144263682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 SEPULVEDA BLVD STE 140",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913453323",
"telephone_number": "818-612-8229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 SEPULVEDA BLVD STE 140",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913453323",
"telephone_number": "818-612-8229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "FERNANDO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC30071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.