Heaven Marie Rodriguez

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

820 6TH Street
Wasco, CA 93280

Phone

(661) 758-4029

Fax

(661) 758-0891

NPI assigned

Jun 4, 2019

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• College Community Services

  • Community/Behavioral Health Agency
  • Wasco, CA
  • NPI 1730391376
  NPD
• County of Kern

  • Adult Mental Health Clinic/Center
  • Bakersfield, CA
  • NPI 1467653253

  Case Manager/Care Coordinator

  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1265090211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29341 KIMBERLINA RD STE 102",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932807617",
            "telephone_number": "661-758-4029",
            "fax_number": "661-758-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 6TH STREET",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "93280",
            "telephone_number": "661-758-4029",
            "fax_number": "661-758-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "HEAVEN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magued Rizk, M.D
• Florentino Avila Robles, FNP-C
• Adriana Rodriguez
• Ana Monserrat Rodriguez
• Deanna Leann Rodriguez, AMFT
• Julissa Rodriguez
• Kenneth Josue Rodriguez
• Maria L Rodriguez
• Maya Graciela Rodriguez
• Ricardo Rodriguez Jr.

• Community Health Worker in Wasco, CA
• Providers in Wasco, 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 Oct 13, 2023; 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.