Individual provider Active NPI

Ana Lastenia Rodas, MD

  • Pediatrics Physician
  • Bell, CA
National Provider Identifier
1427048768
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A40282 Issued in CA
Practice address
3559 E Gage Ave
Bell, CA 90201-1042
Phone
(323) 581-8485
Fax
(323) 923-2809
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A40282 CA Primary
General Practice Physician 208D00000X A40282 CA

Addresses

Primary practice location

3559 E Gage Ave
Bell, CA 90201-1042

Mailing address

3559 E Gage Ave
Bell, CA 90201-1042
Phone (323) 581-8485

Other identifiers 3

IdentifierTypeStateIssuer
A40282OtherCALICENSE
GR0092880OtherCAMEDICAL PROVIDER NUMBER
00A402820MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080211000873 CA Practitioner - Pediatric MedicinePractitioner - General Practice 2062595259 Receives reassigned benefits from 1 practitioner
Practice locations: Bell, CA

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: General Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3559 E Gage Ave
Bell, CA 90201-1049

3559 Gage Ave
Bell, CA 90201-1049
Phone (323) 581-8485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A40282CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ana Lastenia Rodas Pediatrics PastSince Jan 1, 1990 Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1427048768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3559 E GAGE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902011042",
            "telephone_number": "323-581-8485",
            "fax_number": "323-923-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3559 E GAGE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902011042",
            "telephone_number": "323-581-8485",
            "fax_number": "323-923-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODAS",
        "first_name": "ANA",
        "middle_name": "LASTENIA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A40282",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A40282",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A40282",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER NUMBER",
            "identifier": "GR0092880",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A402820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bell, CA

Sources for this page

Verify at the official NPI Registry.