Active NPI
Daniald M Rodrigues, M.D.
- Gastroenterology Physician
- Mission Viejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- C164055
- Practice address
- 27871 Medical Center Rd Ste 200
Mission Viejo, CA 92691-6406 - Phone
- (949) 364-5090
- NPI assigned
- Apr 20, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301086424 | MI | |
| Gastroenterology Physician | 207RG0100X | C164055 | CA | Primary |
Addresses
Primary practice location
27871 Medical Center Rd Ste 200
Mission Viejo, CA 92691-6406
Mailing address
27871 Medical Center Rd Ste 200
Mission Viejo, CA 92691-6406
Phone (949) 364-5090
Other practice location 1
4100 Lake Dr SE
Ste. 205
Grand Rapids, MI 49546-8292
Phone (616) 267-7414
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drodrigues1374072@oc.providencedirect.org |
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Wayne State University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350
27700 Medical Ctr Rd
Mission Viejo, CA 92691-6426
Phone (949) 364-1400
27799 Medical Ctr Rd
Mission Viejo, CA 92691-6400
Hospital & facility affiliations
- Providence Mission Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 77 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 105 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C164055 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Mission Hospital Regional Medical Center | Past | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
100 E Valencia Mesa Dr
#1051182
Fullerton, CA 92835
Phone (714) 446-5200
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
27799 Medical Center Rd
Ste 310
Mission Viejo, CA 92691
Phone (949) 364-5090
26800 Crown Valley Pkwy
Ste 300
Mission Viejo, CA 92691
27871 Medical Center Rd
Ste 200
Mission Viejo, CA 92691
Phone (949) 347-8314
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- drodrigues1374072@oc.providencedirect.org
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Rehabilitation Hospital
- Mission Viejo, CA
- NPI 1003956913
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1174767230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27871 MEDICAL CENTER RD STE 200",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916406",
"telephone_number": "949-364-5090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27871 MEDICAL CENTER RD STE 200",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916406",
"telephone_number": "949-364-5090"
}
],
"practiceLocations": [
{
"address_1": "4100 Lake Dr SE",
"address_2": "Ste. 205",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495468292",
"country_code": "US",
"telephone_number": "616-267-7414",
"fax_number": "616-267-7137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUES",
"first_name": "DANIALD",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-20",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301086424",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "C164055",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drodrigues1374072@oc.providencedirect.org",
"affiliation": "N",
"address_1": "27799 Medical Center Rd Ste 310",
"city": "Mission Viejo",
"state": "CA",
"country_code": "US",
"postal_code": "926916400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.
- 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.