Individual provider Active NPI

Rodrigo Dezubiria, M.D

  • Family Medicine Physician
  • Atwater, CA
National Provider Identifier
1215040563
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A70728 Issued in CA
Practice address
3605 Hospital Rd
Atwater, CA 95301-5173
Phone
(209) 381-2000
Fax
(209) 381-2010
NPI assigned
Aug 17, 2006
Last updated
Aug 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A70728 CA Primary

Addresses

Primary practice location

3605 Hospital Rd
Atwater, CA 95301-5173

Mailing address

3605 Hospital Rd
Atwater, CA 95301-5173
Phone (209) 381-2000

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
I20051017000517 CA Practitioner - Family Practice 6305862632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Irvine, California College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3605 Hospital Rd
Atwater, CA 95301-5173
Phone (209) 381-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70728CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Family Health Centers Inc. CurrentSince Aug 4, 2010 Accepting new patients
Castle Family Health Centers Inc. Past Accepting new patients

Locations

3605 Hospital Rd
Atwater, CA 95301
Phone (209) 381-2000

3605 Hospital Rd
Ste H
Atwater, CA 95301
Phone (209) 381-2047

Interoperability endpoints

  • Direct secure messaging: rodrigo.dezubiria.p1@direct.castle.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1215040563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 HOSPITAL RD",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015173",
            "telephone_number": "209-381-2000",
            "fax_number": "209-381-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 HOSPITAL RD",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015173",
            "telephone_number": "209-381-2000",
            "fax_number": "209-381-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEZUBIRIA",
        "first_name": "RODRIGO",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A70728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwater, CA

Sources for this page

Verify at the official NPI Registry.