Individual provider Active NPI

William Edgardo Rodriguez Jr., MD

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1366012981
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A206220 Issued in CA
Practice address
2417 Whittier Blvd Ste 101
Los Angeles, CA 90023-1356
Phone
(323) 881-1641
Fax
(323) 881-1642
NPI assigned
Jun 26, 2021
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A206220 CA Primary

Addresses

Primary practice location

2417 Whittier Blvd Ste 101
Los Angeles, CA 90023-1356

Mailing address

2417 Whittier Blvd Ste 101
Los Angeles, CA 90023-1356
Phone (323) 881-1641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210707003049 PA Order and Referring Only - Family PracticePractitioner - General SurgeryPractitioner - Family Practice 4587066964

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A206220CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W Rodriguez Jr Medical Corporation Family Medicine Current Accepting new patients
Dr Maria Elena Rodriguez Inc a Medical Corporation PastSince May 1, 2008 Accepting new patients

Locations

2417 Whittier Blvd
Ste 101
Los Angeles, CA 90023
Phone (323) 881-1641

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1366012981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 WHITTIER BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231356",
            "telephone_number": "323-881-1641",
            "fax_number": "323-881-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 WHITTIER BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231356",
            "telephone_number": "323-881-1641",
            "fax_number": "323-881-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "WILLIAM",
        "middle_name": "EDGARDO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-26",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A206220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.