Active NPI
Ghislaine Rodriguez, DC
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1346427275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 30695
- Practice address
- 10474 Santa Monica Blvd
Suite 202
Los Angeles, CA 90025-6929 - Phone
- (310) 470-2909
- Fax
- (310) 470-3286
- NPI assigned
- Jan 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 30695 | CA | Primary |
Addresses
Primary practice location
10474 Santa Monica Blvd
Suite 202
Los Angeles, CA 90025-6929
Mailing address
634 Sheldon St
Apartment 634
El Segundo, CA 90245-3035
Phone (310) 647-1979
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30695 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1346427275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 SHELDON ST",
"address_2": "APARTMENT 634",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902453035",
"telephone_number": "310-647-1979",
"fax_number": "310-470-3286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10474 SANTA MONICA BLVD",
"address_2": "SUITE 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256929",
"telephone_number": "310-470-2909",
"fax_number": "310-470-3286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "GHISLAINE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "30695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.