Active NPI
Elizabeth Rodriguez, R.N.
- Adult Psychiatric/Mental Health Registered Nurse
- Oxnard, CA
National Provider Identifier
1487964797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 778418
- Practice address
- 1911 Williams Dr Ste 120
Oxnard, CA 93036-2612 - Phone
- (805) 981-9270
- NPI assigned
- Oct 20, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 778418 | CA | Primary |
Addresses
Primary practice location
1911 Williams Dr Ste 120
Oxnard, CA 93036-2612
Mailing address
2585 Paseo Yolo
Camarillo, CA 93010-2221
Phone (805) 981-9248
Other practice location 1
5810 Ralston St
Ventura, CA 93003-6010
Phone (805) 642-7033 ext. 100
Other practice location 2
4258 Telegraph Rd
Ventura, CA 93003-3706
Phone (805) 477-5700 ext. 5740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163WP0809X | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 778418 | CA | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Ventura | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Simi Valley, CA
- NPI 1609098243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1487964797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2585 PASEO YOLO",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930102221",
"telephone_number": "805-981-9248",
"fax_number": "805-981-9271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 WILLIAMS DR STE 120",
"city": "OXNARD",
"state": "CA",
"postal_code": "930362612",
"telephone_number": "805-981-9270"
}
],
"practiceLocations": [
{
"address_1": "5810 Ralston St",
"address_purpose": "LOCATION",
"city": "Ventura",
"state": "CA",
"postal_code": "930036010",
"country_code": "US",
"telephone_number": "805-642-7033 x100",
"fax_number": "805-642-7201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4258 Telegraph Rd",
"address_purpose": "LOCATION",
"city": "Ventura",
"state": "CA",
"postal_code": "930033706",
"country_code": "US",
"telephone_number": "805-477-5700 x5740",
"fax_number": "805-644-5245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ELIZABETH",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-20",
"last_updated": "2022-07-13",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "CA",
"license": "778418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163WP0809X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.