Individual provider Active NPI

Juan J Rodriguez, M.D.

  • Specialist
  • Los Alamitos, CA
National Provider Identifier
1205925286
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A43015 Issued in CA
Practice address
10900 Los Alamitos Blvd
Ste 150
Los Alamitos, CA 90720-2354
Phone
(562) 431-7519
Fax
(562) 431-2290
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A43015 CA Primary

Addresses

Primary practice location

10900 Los Alamitos Blvd
Ste 150
Los Alamitos, CA 90720-2354

Mailing address

PO Box 4259
Cerritos, CA 90703-4259
Phone (562) 407-2080

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070817000467 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 3577655711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
University of Texas Medical School at Houston, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10921 Cherry St
Suite 100
Los Alamitos, CA 90720-2473
Phone (562) 795-5600

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A43015CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
JJ Rodriguez M D Inc Specialist CurrentSince Jan 1, 2007 Accepting new patients
Alamitos Anesthesia Medical GRP Inc Specialist Past Accepting new patients

Locations

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

10921 Cherry St
Ste 100
Los Alamitos, CA 90720
Phone (562) 795-5600

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1205925286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4259",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907034259",
            "telephone_number": "562-407-2080",
            "fax_number": "562-407-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 LOS ALAMITOS BLVD",
            "address_2": "STE 150",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202354",
            "telephone_number": "562-431-7519",
            "fax_number": "562-431-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JUAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A43015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.