Roldan Rodriguez Jr., PD AGRNA, CHN, INHC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

72809 Sonora Drive
Palm Desert, CA 92260

Phone

(323) 383-8288

NPI assigned

Nov 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1184497802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 SANTA MONICA BLVD # 368151",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694109",
            "telephone_number": "323-383-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72809 SONORA DRIVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92260",
            "telephone_number": "323-383-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ROLDAN",
        "name_suffix": "Jr.",
        "credential": "PD AGRNA, CHN, INHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Mishel Rodriguez Rodriguez
• Eleanor Guadalupe Rodriguez
• Marina Rodriguez, MA, BCBA
• Miguel Angel Rodriguez
• Omar Alonso Rodriguez
• Yessica Marie Rodriguez
• Leslie M Roebuck, FNP-C, FNP-BC
• Alfonso Corral Roger, MD
• Deira N Rogers
• Roland D Reinhart M D a Professional Corporation

• Health & Wellness Coach in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Health & Wellness Coach in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.