Active NPI
Rodrigo Dezubiria, M.D
- Family Medicine Physician
- Atwater, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A70728
- Practice address
- 3605 Hospital Rd
Atwater, CA 95301-5173 - Phone
- (209) 381-2000
- Fax
- (209) 381-2010
- NPI assigned
- Aug 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Mercy Home Care
- Careone Home Health and Hospice, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A70728 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Castle Family Health Centers Inc. | Current | Accepting new patients | |
| Castle Family Health Centers Inc. | Past | Accepting new patients |
Locations
3605 Hospital Rd
Ste H
Atwater, CA 95301
Phone (209) 381-2047
3605 Hospital Rd
Atwater, CA 95301
Phone (209) 381-2000
Interoperability endpoints
- 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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Atwater, CA
- NPI 1629246624
-
- Federally Qualified Health Center (FQHC)
- Atwater, CA
- NPI 1497778443
-
- Federally Qualified Health Center (FQHC)
- Winton, CA
- NPI 1447281746
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Salida, CA
- NPI 1972809838
-
- Home Health Agency
- Merced, CA
- NPI 1235289117
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.