Maria Guadalupe Rodriguez Pacheco

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

41820 Garstin Dr
Big Bear Lake, CA 92315

Phone

(909) 878-8279

NPI assigned

Mar 20, 2025

Last updated

Mar 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1255132940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6609",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923156609",
            "telephone_number": "909-653-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41820 GARSTIN DR",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "telephone_number": "909-878-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ PACHECO",
        "first_name": "MARIA",
        "middle_name": "GUADALUPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Russell Rice
• Beverly Rios
• Stephanie Ann Rios, MFT INTERN
• Gregorio Liebano Rivera
• Angelica Adilene Rodriguez Pacheco
• Timothy Joseph Ross, EAMP, L.AC.
• Edward Phillip Rowe, MFT INTERN
• Jessica Marian Rule, PA-C
• Heather Salzer-Devito, P.T., ATC, CSCS
• San Bernardino County Superintendent of Schools

• Community Health Worker in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.