Archibald Edmundo Rodriguez, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27637 Issued in CA

Practice address

1220 La Venta Dr.
#205A
West Lake Village, CA 91361

Phone

(805) 497-8581

Fax

(805) 497-8582

NPI assigned

Mar 30, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Los Angeles, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1467694992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 LINDERO CYN. RD.",
            "address_2": "#270",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "91377",
            "telephone_number": "805-497-8581",
            "fax_number": "805-497-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 LA VENTA DR.",
            "address_2": "#205A",
            "city": "WEST LAKE VILLAGE",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "805-497-8581",
            "fax_number": "805-497-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ARCHIBALD",
        "middle_name": "EDMUNDO",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "27637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Robertson, LPCC
• Keith A Robertson, M.D.
• Coby Robinson
• Jill Helene Rodewald, LCSW
• Amber Marie Rodriguez
• Veronica Lara Rodriguez, M.A., B.C.B.A.
• Michael Roederer
• Jason Rohrer
• Colby Rompal, DC
• Rosales Inc (Neighbor Care Hospice)

• Chiropractor in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.