R & R Clinical & Medical Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A56502 Issued in CA

Legal business name

R & R CLINICAL & MEDICAL CORP

Doing business as

Clinica Medica Nuestra

Practice address

1403 N Fair Oaks Ave
Suite 3
Pasadena, CA 91103-1858

Phone

(626) 398-0354

Fax

(626) 398-0357

NPI assigned

Feb 6, 2007

Last updated

Mar 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos Rodriguez, MDNPI 1811046485

Title

Director

Phone

(626) 398-0354

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CLINICA MEDICA NUESTRA Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

R R Clinical Medical Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• R&R Clinical

  • Clinic/Center
  • Pasadena, CA
  • NPI 1154714772
  NPD tax ID

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos Gustavo Rodriguez, M.D.

  • Family Medicine Physician
  • Pasadena, CA
  • NPI 1811046485
  Medicare reassignment NPD Authorized official
• Martha Lidia Rodriguez, M.D.

  • Family Medicine Physician
  • Downey, CA
  • NPI 1912993973
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1255471868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 N FAIR OAKS AVE",
            "address_2": "SUITE 3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031858",
            "telephone_number": "626-398-0354",
            "fax_number": "626-398-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 N FAIR OAKS AVE",
            "address_2": "SUITE 3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031858",
            "telephone_number": "626-398-0354",
            "fax_number": "626-398-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & R CLINICAL & MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-398-0354",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A56502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100500",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "00A565020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA MEDICA NUESTRA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLINICA MEDICA NUESTRA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymond Quiroz
• Thea Quiton
• Hassan I Qureshi, DO
• Tarannum S Qureshi, PA-C
• Afrina Qutubuddin, M.D.
• R Robert Wycoff MD Inc (Oak Tree Radiology Medical Corp)
• R. Clark Davis, M.D., Inc.
• R. Starr Dental, Inc.
• R&R Clinical
• Ibrahim A Rabadi

• Family Medicine Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.