Individual provider Active NPI

Joe L Rod, M.D.

  • Specialist
  • San Jose, CA
National Provider Identifier
1366508160
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A42366 Issued in CA
Practice address
2020 Forest Ave Ste 1
San Jose, CA 95128-4805
Phone
(408) 993-9511
Fax
(408) 993-9559
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A42366 CA Primary

Addresses

Primary practice location

2020 Forest Ave Ste 1
San Jose, CA 95128-4805

Mailing address

2020 Forest Ave Ste 1
San Jose, CA 95128-4805
Phone (408) 993-9511

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A42366CAMDSpecialist
42366CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joe L Rod MD Facc PastSince Jun 26, 1992 Accepting new patients
County of Santa Clara Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366508160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 FOREST AVE STE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284805",
            "telephone_number": "408-993-9511",
            "fax_number": "408-993-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 FOREST AVE STE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284805",
            "telephone_number": "408-993-9511",
            "fax_number": "408-993-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROD",
        "first_name": "JOE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A42366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.