Active NPI
Elizabeth Victoria Rodriguez, FNP-C
- Family Nurse Practitioner
- Modesto, CA
National Provider Identifier
1255241139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95027909
- Practice address
- 1300 Mable Ave Ste 2
Modesto, CA 95355-1120 - Phone
- (209) 448-3000
- Fax
- (209) 442-4116
- NPI assigned
- Sep 11, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95027909 | CA | Primary |
Addresses
Primary practice location
1300 Mable Ave Ste 2
Modesto, CA 95355-1120
Mailing address
131 E. Kern Ave PMB 1024
Tulare, CA 93274
Phone (209) 681-3397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1255241139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 E. KERN AVE PMB 1024",
"city": "TULARE",
"state": "CA",
"postal_code": "93274",
"telephone_number": "209-681-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MABLE AVE STE 2",
"city": "MODESTO",
"state": "CA",
"postal_code": "953551120",
"telephone_number": "209-448-3000",
"fax_number": "209-442-4116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ELIZABETH",
"middle_name": "VICTORIA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95027909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.