Active NPI
Adela Lissette Hernandez Rodarte
- Rehabilitation Practitioner
- Oakland, CA
National Provider Identifier
1255647236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 3301 East 12TH Street Suite 259
Westcoast Childrens Clinic
Oakland, CA 94601 - Phone
- (510) 269-9030
- Fax
- (510) 269-9031
- NPI assigned
- Aug 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
3301 East 12TH Street Suite 259
Westcoast Childrens Clinic
Oakland, CA 94601
Mailing address
3301 East 12TH Street Suite 259
Westcoast Childrens Clinic
Oakland, CA 94601
Phone (510) 269-9030
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1255647236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 EAST 12TH STREET SUITE 259",
"address_2": "WESTCOAST CHILDRENS CLINIC",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94601",
"telephone_number": "510-269-9030",
"fax_number": "510-269-9031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 EAST 12TH STREET SUITE 259",
"address_2": "WESTCOAST CHILDRENS CLINIC",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94601",
"telephone_number": "510-269-9030",
"fax_number": "510-269-9031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ RODARTE",
"first_name": "ADELA",
"middle_name": "LISSETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-27",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.