Individual provider Active NPI

John Michael Rodriguez

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1144843251
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
127979 Issued in CA
Practice address
730 Polk St FL 4
San Francisco, CA 94109-7813
Phone
(415) 916-1672
NPI assigned
May 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 127979 CA Primary

Addresses

Primary practice location

730 Polk St FL 4
San Francisco, CA 94109-7813

Mailing address

123 Albion St
San Francisco, CA 94110-1116
Phone (415) 916-1672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250402001198 CA Practitioner - Clinical Social Worker 5496278244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asian and Pacific Islander Wellness Center, Inc.Group PAC ID 0143522839, 12 clinicians

Practice addresses (Care Compare)

726 Polk St
FL 4
San Francisco, CA 94109-7812
Phone (415) 292-3400

730 Polk St
FL 4
San Francisco, CA 94109-7813
Phone (415) 292-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127979CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asian and Pacific Islander Wellness Center, Inc. CurrentSince Jan 19, 2025 Accepting new patients
Asian and Pacific Islander Wellness Center, Inc. Current Accepting new patients
Asian and Pacific Islander Wellness Center, Inc. CurrentSince Jan 19, 2025 Accepting new patients
Itzcuintli Licensed Clinical Social Worker Inc Clinical Current Accepting new patients

Locations

726 Polk St
San Francisco, CA 94109
Phone (415) 292-3400

726 Polk St
Fl 4
San Francisco, CA 94109
Phone (415) 292-3400

730 Polk St
Fl 4
San Francisco, CA 94109
Phone (415) 292-3400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1144843251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 ALBION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101116",
            "telephone_number": "415-916-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 POLK ST FL 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941097813",
            "telephone_number": "415-916-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-22",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "127979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.