Carmen Ballestero Rodriguez, R.N.

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

246636 Issued in CA

Practice address

2440 Grand Ave
San Diego, CA 92109-4858

Phone

(858) 490-4400

Fax

(858) 490-4405

NPI assigned

Apr 3, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306967765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13746 PASEO CEVERA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292762",
            "telephone_number": "858-538-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 GRAND AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094858",
            "telephone_number": "858-490-4400",
            "fax_number": "858-490-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CARMEN",
        "middle_name": "BALLESTERO",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "246636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "163W00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Rodriguez
• Camryn Julien Stevahn Rodriguez, IDC
• Carla Rodriguez
• Carlos Rodriguez, PA-C
• Carmen Rodriguez, SA-C
• Carolyn Lababit Rodriguez, RT(R)
• Carolyn Plou Rodriguez, PT, DPT
• Casandra Rodriguez
• Cecilia Rodriguez, BCABA
• Charles Justin Rodriguez

• Community Health Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Community Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.