Mamie Rodgers
Individual provider Active NPI Homemaker · San Bernardino, CA
NPI 1487203402 · NPPES record last updated Sep 11, 2019
Key facts
- NPI
- 1487203402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 2557 N Pennsylvania Ave
San Bernardino, CA 92407-6737 - Phone
- (909) 266-6088
- NPI assigned
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker |
376J00000X | Yes |
Addresses
Primary practice location
2557 N Pennsylvania Ave
San Bernardino, CA 92407-6737
Mailing address
1380 W 48TH St Unit 33
San Bernardino, CA 92407-5007
Phone (909) 653-3784
Other providers in San Bernardino, CA
- Rockcreek, Inc.
- Rockcreek, Inc.
- Rockcreek, Inc.
- Natalie Rodas
- Alexis Rodgers
- Tamara Rodrigues
- Margibel Katherine Rodriguez Baptista
- Bianca Rodriguez Valles
- Yaritza Rodriguez Vejar
- Sandra O Rodriguez Zamora
All providers in San Bernardino, CA · Homemaker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.