NPIMap

Individual provider Active NPI

Megan Ciera Rodriguez, PA-C

  • Physician Assistant
  • Brawley, CA
National Provider Identifier
1417330952
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
58233 Issued in CA
Practice address
900 Main St
Brawley, CA 92227-2630
Phone
(518) 708-9722
NPI assigned
Jul 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NY
Physician Assistant 363A00000X 58233 CA Primary

Addresses

Primary practice location

900 Main St
Brawley, CA 92227-2630

Mailing address

PO Box 720027
San Diego, CA 92172-0027
Phone (187) 089-7225

Other names 1

  • Megan Ciera Loucks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150911001835 NY Practitioner - Physician Assistant 8022325794 Reassigns benefits to 3 organizations
I20201116001467 CA Practitioner - Physician Assistant 8022325794 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Memorial HospitalGroup PAC ID 5092709410, 171 clinicians

Practice addresses (Care Compare)

10 Grandview Ave
Catskill, NY 12414-2010
Phone (518) 828-7601

2827 US Route 9
Valatie, NY 12184-0785
Phone (518) 828-8051

Hospital & facility affiliations

  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Hospital CurrentSince Oct 6, 2016 Accepting new patients
Columbia Memorial Hospital CurrentSince Apr 14, 2025 Accepting new patients
Columbia Memorial Hospital CurrentSince Apr 14, 2025 Accepting new patients
Albany Medical College CurrentSince Apr 14, 2025 Accepting new patients
Dr Carneiro Wound Medicine Corp PastSince Aug 13, 2023 Accepting new patients
Albany Medical College Physician Assistant Past Accepting new patients
Columbia Memorial Hospital Past Accepting new patients

Locations

43 New Scotland Ave
#139
Albany, NY 12208
Phone (518) 262-3131

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

10 Grandview Ave
Catskill, NY 12414
Phone (518) 943-9100

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

117 Marys Ave
Ste 202
Kingston, NY 12401
Phone (845) 338-1717

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

Interoperability endpoints

  • Direct secure messaging: megan.rodriguez.p1@direct.cdsdp.nextgenshare.com

Organizations & group practices 11

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1417330952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720027",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921720027",
            "telephone_number": "187-089-7225"
        },
        {
            "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": "518-708-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MEGAN",
        "middle_name": "CIERA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "LOUCKS",
            "middle_name": "CIERA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brawley, CA

Sources for this page

Verify at the official NPI Registry.