Individual provider Active NPI

Javier Alexander Rodriguez, MD

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1336658921
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18604 Issued in NV
Practice address
1595 Robb Dr Ste 2
Reno, NV 89523-3527
Phone
(775) 982-5000
Fax
(775) 982-3900
NPI assigned
Sep 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A151782 CA
Family Medicine Physician 207Q00000X 18604 NV Primary

Addresses

Primary practice location

1595 Robb Dr Ste 2
Reno, NV 89523-3527

Mailing address

850 Harvard Way # T5
Reno, NV 89502-2055
Phone (775) 982-5262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190805000163 NV Practitioner - Family Practice 3274886619 Reassigns benefits to 2 organizations
I20250214003211 CA Practitioner - Family Practice 3274886619 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A151782CAMDFamily Medicine Physician
18604NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CTH Physicians Clinic Current Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Feb 7, 2024 Accepting new patients
Enara Health Group, P.C. CurrentSince Dec 11, 2024 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Feb 7, 2024 Accepting new patients
Hassan Kafri MD, Inc. CurrentSince Dec 17, 2024 Accepting new patients
Carson Tahoe Physician Clinics CurrentSince Feb 7, 2024 Accepting new patients
Community Care Services LLC Past Accepting new patients
Mochi Medical KS PC Past Accepting new patients
Mochi Medical Ca PC Past Accepting new patients

Locations

429 Broadway
Chula Vista, CA 91910
Phone (619) 434-0204

480 Fourth Ave
Ste 401
Chula Vista, CA 91910
Phone (619) 337-0190

450 Fourth Ave
Ste 215
Chula Vista, CA 91910
Phone (512) 375-3210

3050 S Delaware St
Ste 130
San Mateo, CA 94403
Phone (650) 319-8654

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

10539 Professional Cir
Ste 200
Reno, NV 89521
Phone (775) 445-7026

Organizations & group practices 9

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": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1336658921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HARVARD WAY # T5",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022055",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 ROBB DR STE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895233527",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JAVIER",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-26",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A151782",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "18604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.