Individual provider Active NPI

Daniel H Rodiles, M.D.

  • Gastroenterology Physician
  • Los Alamitos, CA
National Provider Identifier
1497789960
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A24159 Issued in CA
Practice address
10861 Cherry Street
Suite 302
Los Alamitos, CA 90720-5403
Phone
(562) 493-1011
Fax
(562) 594-9226
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A24159 CA Primary

Addresses

Primary practice location

10861 Cherry Street
Suite 302
Los Alamitos, CA 90720-5403

Mailing address

10861 Cherry Street
Suite 302
Los Alamitos, CA 90720-5403
Phone (562) 493-1011

Other identifiers 1

IdentifierTypeStateIssuer
GR0092040MedicaidCA

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A24159CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rodiles & Chen Medical Group Inc Gastroenterology Current Accepting new patients

Locations

3833 Worsham Ave
Ste 300
Long Beach, CA 90808
Phone (562) 595-5421

10861 Cherry St
Ste 302
Los Alamitos, CA 90720
Phone (562) 493-1011

1661 Golden Rain Rd
Seal Beach, CA 90740
Phone (562) 493-9581

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1497789960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 CHERRY STREET",
            "address_2": "SUITE 302",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205403",
            "telephone_number": "562-493-1011",
            "fax_number": "562-594-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 CHERRY STREET",
            "address_2": "SUITE 302",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205403",
            "telephone_number": "562-493-1011",
            "fax_number": "562-594-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODILES",
        "first_name": "DANIEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A24159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0092040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.