Active NPI
Jennifer Ann Rodriguez
- Peer Specialist
- Los Angeles, CA
National Provider Identifier
1497312151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 3850 Crenshaw Blvd
Los Angeles, CA 90008-1821 - Phone
- (323) 751-3026
- NPI assigned
- May 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Mailing address
3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Phone (323) 751-3026
Other practice location 1
12440 Firestone Blvd Ste 3015
Norwalk, CA 90650-9333
Phone (562) 864-7821
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Health & Rehabilitation Program | 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
- Lynwood, CA
- NPI 1467775221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1497312151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900081821",
"telephone_number": "323-751-3026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900081821",
"telephone_number": "323-751-3026"
}
],
"practiceLocations": [
{
"address_1": "12440 Firestone Blvd Ste 3015",
"address_purpose": "LOCATION",
"city": "Norwalk",
"state": "CA",
"postal_code": "906509333",
"country_code": "US",
"telephone_number": "562-864-7821",
"fax_number": "562-864-7864",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JENNIFER",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.