Active NPI
Rhonda Eyzaguirre, PHD, LEP, NCSP
- School Psychologist
- Lodi, CA
National Provider Identifier
1235789918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2940
- Practice address
- 1305 E Vine St
Lodi, CA 95240-3179 - Phone
- (415) 235-5993
- NPI assigned
- Sep 16, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2940 | CA | Primary |
Addresses
Primary practice location
1305 E Vine St
Lodi, CA 95240-3179
Mailing address
1305 E Vine St
Lodi, CA 95240-3179
Phone (415) 235-5993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2940 | CA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1235789918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 E VINE ST",
"city": "LODI",
"state": "CA",
"postal_code": "952403179",
"telephone_number": "415-235-5993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 E VINE ST",
"city": "LODI",
"state": "CA",
"postal_code": "952403179",
"telephone_number": "415-235-5993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EYZAGUIRRE",
"first_name": "RHONDA",
"name_prefix": "Dr.",
"credential": "PHD, LEP, NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "2940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.