Active NPI
Adrian Rodriguez
- Physician Assistant
- Brawley, CA
National Provider Identifier
1376267492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 63755
- Practice address
- 900 Main St
Brawley, CA 92227-2630 - Phone
- (760) 344-6471
- NPI assigned
- Oct 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 63755 | CA | Primary |
Addresses
Primary practice location
900 Main St
Brawley, CA 92227-2630
Mailing address
1330 N Waterman Ave
El Centro, CA 92243-1219
Phone (760) 460-1516
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63755 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicas de Salud del Pueblo, Inc | Current | Accepting new patients | |
| Clinicas de Salud del Pueblo Inc. | Current | Accepting new patients | |
| North Orange County Regional Health Foundation | Past | Accepting new patients |
Locations
900 Main St
Brawley, CA 92227
Phone (760) 344-6471
223 W Cole Blvd
Calexico, CA 92231
Phone (760) 357-2020
852 E Danenberg Dr
El Centro, CA 92243
Phone (760) 352-2257
Interoperability endpoints
- adrain.rodriguez.p1@direct.cdsdp.nextgenshare.com
Organizations & group practices 4
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.
-
dba Innercare
- Federally Qualified Health Center (FQHC)
- El Centro, CA
- NPI 1346313889
-
dba InnerCare Pharmacy
- Community/Retail Pharmacy
- El Centro, CA
- NPI 1962045872
-
dba Innercare
- Federally Qualified Health Center (FQHC)
- Niland, CA
- NPI 1679654750
-
- Community Health Clinic/Center
- Anaheim, CA
- NPI 1194974402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1376267492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 N WATERMAN AVE",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922431219",
"telephone_number": "760-460-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MAIN ST",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922272630",
"telephone_number": "760-344-6471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ADRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-03",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "63755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brawley, CA
- Retina Institute of California Medical Group, a California Medical Par (Acuity Eye Group)
- Reynaldo B Santmaina MD
- Richard Jacoby MD Inc
- Sunny R Richley, MD
- Thomas L Roderick, DDS
- Christina Marie Rodriguez
- Megan Ciera Rodriguez, PA-C
- Ramon G Rodriguez, MD
- Rosa Maria Rodriguez
- Yamili Rodriguez, PHARM D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.