Individual provider Active NPI

Alvaro H Rodriguez, M.D.

  • Adult Medicine Physician
  • Half Moon Bay, CA
National Provider Identifier
1497797559
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A41323 Issued in CA
Practice address
225 Cabrillo Hwy S
200 A
Half Moon Bay, CA 94019-8200
Phone
(650) 578-7100
Fax
(650) 298-6891
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A41323 CA
Adult Medicine Physician 207QA0505X A41323 CA Primary

Addresses

Primary practice location

225 Cabrillo Hwy S
200 A
Half Moon Bay, CA 94019-8200

Mailing address

225 Cabrillo Hwy S
200 A
Half Moon Bay, CA 94019-8200
Phone (650) 578-7100

Other identifiers 1

IdentifierTypeStateIssuer
00A413230MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41323CAMDMarriage & Family Therapist
A41323CAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince Dec 1, 2015 Accepting new patients
County of San Mateo CurrentSince Aug 1, 2017 Accepting new patients
County of San Mateo CurrentSince Dec 1, 2015 Accepting new patients
Rehabilitation Physicians Physical Medicine & Rehabilitation PastSince Jan 1, 1993 Accepting new patients

Locations

225 Cabrillo Hwy S
Ste 100A
Half Moon Bay, CA 94019
Phone (650) 712-7330

225 Cabrillo Hwy S
Ste 200A
Half Moon Bay, CA 94019
Phone (650) 573-3941

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Organizations & group practices 4

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1497797559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CABRILLO HWY S",
            "address_2": "200 A",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940198200",
            "telephone_number": "650-578-7100",
            "fax_number": "650-298-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CABRILLO HWY S",
            "address_2": "200 A",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940198200",
            "telephone_number": "650-578-7100",
            "fax_number": "650-298-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALVARO",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A41323",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A41323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A413230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Half Moon Bay, CA

Sources for this page

Verify at the official NPI Registry.