Jacqueline Guadalupe Rodriguez

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

7227 Colchester CT # 1-307
San Diego, CA 92154

Phone

(520) 427-8660

NPI assigned

Jul 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1154949717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 COLCHESTER CT # 1-307",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921546781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 COLCHESTER CT # 1-307",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92154",
            "telephone_number": "520-427-8660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2095 Hillside Rd # U-1110",
            "address_purpose": "LOCATION",
            "city": "Storrs",
            "state": "CT",
            "postal_code": "062691110",
            "country_code": "US",
            "telephone_number": "860-486-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JACQUELINE",
        "middle_name": "GUADALUPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guillermo Rodriguez, DDS
• Gustavo Rodriguez
• Haydee Rodriguez
• Israel Rodriguez
• Ivette G Rodriguez
• Jaden Rodriguez
• James Manuel Rodriguez, DDS
• Janet Rose Rodriguez II, MFT
• Javier Rodriguez, MD
• Javier Rodriguez

• Athletic Trainer in San Diego, CA
• Providers in San Diego, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.