Active NPI
Anthony Joseph Rodriguez
- Case Manager/Care Coordinator
- Woodland Hills, CA
National Provider Identifier
1336633148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 21600 Oxnard St Ste 1030
Woodland Hills, CA 91367-5085 - Phone
- (877) 206-1009
- NPI assigned
- Jun 15, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
21600 Oxnard St Ste 1030
Woodland Hills, CA 91367-5085
Mailing address
170 E College St Unit 4412
Covina, CA 91723-7030
Phone (310) 310-0493
Other practice location 1
2001 28th St
Bakersfield, CA 93301-1924
Phone (661) 868-6600
Other practice location 2
2621 Oswell St
Bakersfield, CA 93306-3172
Phone (661) 868-6755
Other practice location 3
2525 N Chester Ave
Bakersfield, CA 93308-1770
Phone (661) 868-1868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336633148 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1336633148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 E COLLEGE ST UNIT 4412",
"city": "COVINA",
"state": "CA",
"postal_code": "917237030",
"telephone_number": "310-310-0493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21600 OXNARD ST STE 1030",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913675085",
"telephone_number": "877-206-1009"
}
],
"practiceLocations": [
{
"address_1": "2001 28th St",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933011924",
"country_code": "US",
"telephone_number": "661-868-6600",
"fax_number": "661-861-1020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2621 Oswell St",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933063172",
"country_code": "US",
"telephone_number": "661-868-6755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2525 N Chester Ave",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933081770",
"country_code": "US",
"telephone_number": "661-868-1868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-15",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336633148",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.