Organization Active NPI

Dr. Rolando Espinoza, Inc.

  • Clinical Psychologist
  • Covina, CA
National Provider Identifier
1235458134
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY6239 Issued in CA
Legal business name
DR. ROLANDO ESPINOZA, INC.
Practice address
271 E Workman St
Suite 102
Covina, CA 91723-3500
Phone
(626) 966-0318
Fax
(626) 966-0318
NPI assigned
May 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Dr. Rolando Espinoza, PHDNPI 1548256217
Title
Clinical Psychologist
Phone
(626) 966-0318

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY6239 CA Primary

Addresses

Primary practice location

271 E Workman St
Suite 102
Covina, CA 91723-3500

Mailing address

271 E Workman St
Suite 102
Covina, CA 91723-3500
Phone (626) 966-0318

Other identifiers 1

IdentifierTypeStateIssuer
PSY062390MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100525000905 CA Part B Supplier - Clinic/Group Practice 6608905914 Receives reassigned benefits from 1 practitioner
Practice locations: Covina, CA

National Provider Directory

National Provider Directory

Locations

271 E Workman St
Ste 102
Covina, CA 91723
Phone (626) 966-0318

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1235458134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 E WORKMAN ST",
            "address_2": "SUITE 102",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233500",
            "telephone_number": "626-966-0318",
            "fax_number": "626-966-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 E WORKMAN ST",
            "address_2": "SUITE 102",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233500",
            "telephone_number": "626-966-0318",
            "fax_number": "626-966-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROLANDO ESPINOZA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "626-966-0318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY6239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY062390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.