Individual provider Active NPI

Silvia O Rodriguez, NP

  • Women's Health Nurse Practitioner
  • Fullerton, CA
National Provider Identifier
1285870139
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
534117 Issued in CA
Practice address
501 S Brookhurst Rd
Fullerton, CA 92833
Phone
(714) 870-0717
Fax
(714) 870-5468
NPI assigned
Dec 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 534117 CA Primary

Addresses

Primary practice location

501 S Brookhurst Rd
Fullerton, CA 92833

Mailing address

501 S Brookhurst Rd
Fullerton, CA 92833-3207
Phone (714) 870-0717

Other practice location 1

2810 S Bristol St
Santa Ana, CA 92704-6204
Phone (714) 754-7799

Other practice location 2

517 N Main St
Santa Ana, CA 92701-4686
Phone (714) 541-0870

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250501000085 CA Practitioner - Nurse Practitioner 0446776561 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
534117CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allsafe Medical Group Inc. CurrentSince Jan 5, 2025 Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
Latino Health Services Medical Group Inc Past Accepting new patients

Locations

947 S Anaheim Blvd
Ste 270
Anaheim, CA 92805
Phone (714) 533-1491

8077 Florence Ave
Ste 112
Downey, CA 90240
Phone (562) 904-6031

3660 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 608-4898

2617 E Chapman Ave
Ste 312
Orange, CA 92869
Phone (714) 292-0202

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: silvia.rodriguez.p2@direct.mpmccorp.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1285870139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S BROOKHURST RD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928333207",
            "telephone_number": "714-870-0717",
            "fax_number": "714-870-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BROOKHURST RD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92833",
            "telephone_number": "714-870-0717",
            "fax_number": "714-870-5468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 S Bristol St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927046204",
            "country_code": "US",
            "telephone_number": "714-754-7799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "517 N Main St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927014686",
            "country_code": "US",
            "telephone_number": "714-541-0870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SILVIA",
        "middle_name": "O",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-24",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "534117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.