Individual provider Active NPI

Rafael Rodriguez, M.D.

  • Anatomic Pathology Physician
  • Woodland, CA
National Provider Identifier
1265483192
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
A85779 Issued in CA
Practice address
1325 Cottonwood St
Dept of Pathology
Woodland, CA 95695-5131
Phone
(916) 634-7767
Fax
(916) 672-1524
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X A85779 CA Primary

Addresses

Primary practice location

1325 Cottonwood St
Dept of Pathology
Woodland, CA 95695-5131

Mailing address

P.O. Box 340850
Sacramento, CA 95834-0850
Phone (916) 634-7767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090928000337 CA Practitioner - Pathology 7719033018 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of California, Davis School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lucent Pathology Partners IncGroup PAC ID 8325087034, 4 clinicians
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

105 A Cooper CT
Los Gatos, CA 95032-7604
Phone (408) 884-2712

1325 Cottonwood St
Woodland, CA 95695-5131
Phone (530) 662-3961

1650 Creekside Dr
Folsom, CA 95630-3400
Phone (916) 983-7458

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 703-3011

4400 Duckhorn Dr
Suite 200
Sacramento, CA 95834-2680
Phone (916) 634-7767

6501 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 537-5275

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.58 of 100Reported as group
Quality
59.16
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
84.41 of 100Reported as group
Quality
64.41
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A85779CAMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathology Medical Group, Inc CurrentSince Apr 30, 2018 Accepting new patients
Lucent Pathology Partners, Inc Anatomic Pathology CurrentSince Oct 23, 2014 Accepting new patients
Associated Pathology Medical Group, Inc CurrentSince Apr 30, 2018 Accepting new patients
Regents of the University of Ca CurrentSince Jul 3, 2023 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 3, 2023 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients

Locations

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

105 Cooper Ct
#A
Los Gatos, CA 95032

105A Cooper Ct
Los Gatos, CA 95032
Phone (408) 884-2710

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4400 V St
Sacramento, CA 95817
Phone (916) 734-2525

4400 Duckhorn Dr
Ste 200
Sacramento, CA 95834
Phone (916) 634-7767

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

1325 Cottonwood St
Woodland, CA 95695
Phone (530) 662-3961

Organizations & group practices 9

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1265483192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 340850",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958340850",
            "telephone_number": "916-634-7767",
            "fax_number": "916-672-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 COTTONWOOD ST",
            "address_2": "DEPT OF PATHOLOGY",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956955131",
            "telephone_number": "916-634-7767",
            "fax_number": "916-672-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RAFAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "A85779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

Verify at the official NPI Registry.