Active NPI
David Wayne Rhodes, MD
- Urology Physician
- Altadena, CA
National Provider Identifier
1457467094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- C34195
- Practice address
- 2124 Midlothian Dr
Altadena, CA 91001-3414 - Phone
- (626) 798-7042
- NPI assigned
- Aug 23, 2006
- Last updated
- Mar 17, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | C34195 | CA | Primary |
Addresses
Primary practice location
2124 Midlothian Dr
Altadena, CA 91001-3414
Mailing address
2124 Midlothian Dr
Altadena, CA 91001-3414
Phone (626) 798-7042
Other practice location 1
630 S Raymond Ave
Suite 220
Pasadena, CA 91105-3278
Phone (626) 795-8454
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340009839 | Other | CA | MEDICARE RR |
| 00C341950 | Other | CA | BLUE SHIELD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Arcadia Hospital | Past | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba City of Hope Duarte
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- Duarte, CA
- NPI 1871886366
-
dba Huntington Hospital
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
-
- Rehabilitation Hospital Unit
- Arcadia, CA
- NPI 1164410593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1457467094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2124 MIDLOTHIAN DR",
"city": "ALTADENA",
"state": "CA",
"postal_code": "910013414",
"telephone_number": "626-798-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 MIDLOTHIAN DR",
"city": "ALTADENA",
"state": "CA",
"postal_code": "910013414",
"telephone_number": "626-798-7042"
}
],
"practiceLocations": [
{
"address_1": "630 S Raymond Ave",
"address_2": "Suite 220",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911053278",
"country_code": "US",
"telephone_number": "626-795-8454",
"fax_number": "626-795-5631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RHODES",
"first_name": "DAVID",
"middle_name": "WAYNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "C34195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "340009839",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00C341950",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.