Individual provider Active NPI

Margarita A Rodriguez, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1285912741
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A117502 Issued in CA
Practice address
4448 York Blvd
Los Angeles, CA 90041-3328
Phone
(323) 344-5233
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A117502 CA Primary

Addresses

Primary practice location

4448 York Blvd
Los Angeles, CA 90041-3328

Mailing address

950 S Grand Ave FL 2
Los Angeles, CA 90015-3999
Phone (323) 669-4346

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
I20140414001460 CA Practitioner - Family Practice 5890927487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gracelight Community HealthGroup PAC ID 3072619618, 24 clinicians

Practice addresses (Care Compare)

150 N Reno St
Los Angeles, CA 90026-4656
Phone (213) 380-7298

4448 York Blvd
Los Angeles, CA 90041-3328
Phone (323) 344-5233

Hospital & facility affiliations

  • Prime Nursing Services Home health agency, Los Angeles, CA, CCN 057497

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117502CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Care Medical Group Inc CurrentSince Jan 23, 2014 Accepting new patients
Gracelight Community Health CurrentSince Feb 13, 2018 Accepting new patients
Gracelight Community Health CurrentSince Feb 13, 2018 Accepting new patients
Children'S Hospital Los Angeles Mental Health Past Accepting new patients

Locations

150 N Reno St
Los Angeles, CA 90026
Phone (213) 380-7298

950 S Grand Ave
Fl 2
Los Angeles, CA 90015

4448 York Blvd
Los Angeles, CA 90041
Phone (323) 344-5233

1201 E Florence Ave
Los Angeles, CA 90001
Phone (323) 588-0084

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.

Hospital & facility affiliations 1

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": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1285912741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S GRAND AVE FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153999",
            "telephone_number": "323-669-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4448 YORK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900413328",
            "telephone_number": "323-344-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARGARITA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A117502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.