Michael Rodriguez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

52877 Issued in CA

Practice address

820 S Akers St
Suite 220
Visalia, CA 93277-8346

Phone

(559) 733-3346

NPI assigned

Sep 23, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Kaweah Delta Health Care District

  • Multi-Specialty Clinic/Center
  • Visalia, CA
  • NPI 1326704529

  CA

  Medicare reassignment
• Orthopaedic Assoc Medical Clinic, Inc.

  • Orthopaedic Surgery Physician
  • Visalia, CA
  • NPI 1659473171

  CA

  Medicare reassignment
• Kaweah Delta Health Care District

  • Oncology Clinic/Center
  • Visalia, CA
  • NPI 1003672460
  NPD
• Kaweah Delta Health Care District

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1447016050
  NPD
• Seth Criner, D.O., M.S., Inc.

  • Orthopaedic Trauma Physician
  • Visalia, CA
  • NPI 1437512076
  NPD (past)

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1265801971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2632",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932792632",
            "telephone_number": "559-733-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S AKERS ST",
            "address_2": "SUITE 220",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778346",
            "telephone_number": "559-733-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-23",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CA190574",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Rodriguez
• Kevin Robert Rodriguez
• Kristen Deanne Rodriguez
• Laura Rodriguez, OD
• Marissa I Rodriguez, LMFT
• Monique Rodriguez
• Nancy Rodriguez
• Natassija Rodriguez, BA
• Nikki Rodriguez, LMFT
• Paola Rodriguez

• All providers in Visalia, CA
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.