Rodolfo Nidoy Macagba Jr., PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

38892 Issued in CA

Practice address

975 Sereno Dr
Vallejo, CA 94589-2441

Phone

(510) 230-8539

NPI assigned

Mar 24, 2017

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1376074997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 DOWNER ST APT 6",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641350",
            "telephone_number": "510-230-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SERENO DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892441",
            "telephone_number": "510-230-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAGBA",
        "first_name": "RODOLFO",
        "middle_name": "NIDOY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "N/A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Queenie Ly
• M. Alegria L. Ledda DDS Inc.
• Maangela P Dominguez, DDS, a Professional Corporation
• Gary Duane Maas, O.D.
• Daniel Autencio Mabaet, DENTIST
• Becky P Macalino, DPT
• Audrey Cerankoski Macaraig, OTRL
• Carica Theresa Saraza Macariola, AT
• Nicole Bang Maccarrick, DPT
• Lisbeth Macdonald, RN, FNP

• Physical Therapist in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.