Active NPI
Edward Rodezno
- Psychologist
- Long Beach, CA
National Provider Identifier
1366388415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4277
- Practice address
- 2221 Argonne Ave
Long Beach, CA 90815-2527 - Phone
- (562) 997-8000
- NPI assigned
- Apr 28, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4277 | CA | Primary |
Addresses
Primary practice location
2221 Argonne Ave
Long Beach, CA 90815-2527
Mailing address
1515 Hughes Way
Long Beach, CA 90810-1865
Phone (562) 997-8000
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 |
|---|---|---|---|
| 4277 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1366388415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 HUGHES WAY",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908101865",
"telephone_number": "562-997-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 ARGONNE AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908152527",
"telephone_number": "562-997-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODEZNO",
"first_name": "EDWARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-28",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "4277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.