Hugo Alfredo Rodriguez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16205 Issued in CA

Practice address

20440 Sherman Way
Canoga Park, CA 91306-3110

Phone

(818) 346-2395

Fax

(818) 346-4591

NPI assigned

May 27, 2008

Sex

Male

Sole proprietor

Yes

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

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Florence Western Medical Clinic IncGroup PAC ID 1850485962, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• New Frontier Home Health, Inc Home health agency, Van Nuys, CA, CCN 757031

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Florence Western Medical Clinic Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1154347797
  Medicare reassignment Care Compare group
• Jose Manuel Gonzalez-Diaz

  • Family Medicine Physician
  • Canoga Park, CA
  • NPI 1467517557
  NPD (past)

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

• New Frontier Home Health, Inc.

  • Home Health Agency
  • Reseda, CA
  • NPI 1235737099
  Care Compare affiliation

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1306004304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20440 SHERMAN WAY",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913063110",
            "telephone_number": "818-346-2395",
            "fax_number": "818-346-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20440 SHERMAN WAY",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913063110",
            "telephone_number": "818-346-2395",
            "fax_number": "818-346-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "HUGO",
        "middle_name": "ALFREDO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA16205",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Rodriguez
• Angie Rodriguez
• Cristian Rodriguez
• Elizabeth Rodriguez
• Emilio Rodriguez
• Jaelyn Rodriguez
• Janice Rodriguez
• Johanna Maria Rodriguez
• Juleen Vanessa Rodriguez, BS CRIMINAL JUSTICE
• Karla Rodriguez

• Physician Assistant in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.

Verify at the official NPI Registry.