Active NPI
Nitza Ninoska Rodriguez, DPM
- Foot & Ankle Surgery Podiatrist
- Ladera Ranch, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4790
- Practice address
- 333 Corporate Dr Ste 230
Ladera Ranch, CA 92694-2180 - Phone
- (949) 364-9255
- Fax
- (949) 364-9250
- NPI assigned
- Jan 9, 2007
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4790 | CA | Primary |
Addresses
Primary practice location
333 Corporate Dr Ste 230
Ladera Ranch, CA 92694-2180
Mailing address
27800 Medical Center Rd
Suite 110
Mission Viejo, CA 92691-6407
Phone (949) 364-9255
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 Corporate Dr
Suite 230
Ladera Ranch, CA 92694-2180
Phone (949) 364-9255
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.4 of 100
- Quality
- 44.81
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 17 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4790 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spencer Rodriguez Podiatry Corporation | Foot & Ankle Surgery | Current | Accepting new patients |
| Spencer Rodriguez Podiatry Corporation | Foot & Ankle Surgery | Current | Accepting new patients |
| Saddleback Memorial Medical Center | Past | Accepting new patients | |
| White Memorial Medical Center | Past | Accepting new patients |
Locations
333 Corporate Dr
Ste 230
Ladera Ranch, CA 92694
Phone (949) 364-9255
27800 Medical Center Rd
Ste 110
Mission Viejo, CA 92691
Phone (949) 364-9255
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- Ladera Ranch, CA
- NPI 1619396884
-
- Foot & Ankle Surgery Podiatrist
- Orange, CA
- NPI 1609613785
-
- Rehabilitation Hospital Unit
- Laguna Hills, CA
- NPI 1114967114
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1265581540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27800 MEDICAL CENTER RD",
"address_2": "SUITE 110",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916407",
"telephone_number": "949-364-9255",
"fax_number": "949-364-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 CORPORATE DR STE 230",
"city": "LADERA RANCH",
"state": "CA",
"postal_code": "926942180",
"telephone_number": "949-364-9255",
"fax_number": "949-364-9250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "NITZA",
"middle_name": "NINOSKA",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ladera Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.