Active NPI
Evelyn Rodriguez
- Medical Physician Assistant
- Red Bluff, CA
National Provider Identifier
1376255190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 1850 Walnut St
Red Bluff, CA 96080-3611 - Phone
- (530) 527-0350
- NPI assigned
- Dec 23, 2022
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | CA | Primary |
Addresses
Primary practice location
1850 Walnut St
Red Bluff, CA 96080-3611
Mailing address
830 Saint Marks St Apt 46
Redding, CA 96003-1896
Phone (818) 747-7451
Other practice location 1
830 Saint Marks St
Redding, CA 96003-1894
Phone (818) 747-7451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250929000633 | CA | Order and Referring Only - Physician Assistant | 2466957535 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1376255190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 SAINT MARKS ST APT 46",
"city": "REDDING",
"state": "CA",
"postal_code": "960031896",
"telephone_number": "818-747-7451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 WALNUT ST",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960803611",
"telephone_number": "530-527-0350"
}
],
"practiceLocations": [
{
"address_1": "830 Saint Marks St",
"address_purpose": "LOCATION",
"city": "Redding",
"state": "CA",
"postal_code": "960031894",
"country_code": "US",
"telephone_number": "818-747-7451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "EVELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-23",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Bluff, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.