Active NPI
Jazmine Rodriguez
- Physical Therapist
- El Monte, CA
National Provider Identifier
1497129738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11604
- Practice address
- 10418 Valley Blvd
Suite a
El Monte, CA 91731-3600 - Phone
- (626) 258-1600
- Fax
- (626) 258-1609
- NPI assigned
- Nov 24, 2015
- Last updated
- Dec 21, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 11604 | SC | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
10418 Valley Blvd
Suite a
El Monte, CA 91731-3600
Mailing address
17002 E Alcross St
Covina, CA 91722-1204
Phone (626) 922-8738
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11604 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altamed Health Services Corp | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AltaMed SBC El Monte Clinic
- Federally Qualified Health Center (FQHC)
- El Monte, CA
- NPI 1073809042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1497129738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17002 E ALCROSS ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917221204",
"telephone_number": "626-922-8738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10418 VALLEY BLVD",
"address_2": "SUITE A",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917313600",
"telephone_number": "626-258-1600",
"fax_number": "626-258-1609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JAZMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-24",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "11604",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.