Organization Active NPI

Carlos S . Rodriguez, M.D. Inc

  • Specialist
  • Mission Hills, CA
National Provider Identifier
1497931620
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A39921 Issued in CA
Legal business name
CARLOS S . RODRIGUEZ, M.D. INC
Practice address
14901 Rinaldi St
Suite 202
Mission Hills, CA 91345-1204
Phone
(818) 361-7358
Fax
(818) 361-0403
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Helen Mugavero
Title
Office Manager
Phone
(818) 361-7358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A39921 CA Primary

Addresses

Primary practice location

14901 Rinaldi St
Suite 202
Mission Hills, CA 91345-1204

Mailing address

14901 Rinaldi St
Suite 202
Mission Hills, CA 91345-1204
Phone (818) 361-7358

Other identifiers 1

IdentifierTypeStateIssuer
00A399211MedicaidCA

National Provider Directory

National Provider Directory

Locations

14901 Rinaldi St
Ste 202
Mission Hills, CA 91345
Phone (818) 361-7358

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1497931620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST",
            "address_2": "SUITE 202",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451204",
            "telephone_number": "818-361-7358",
            "fax_number": "818-361-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST",
            "address_2": "SUITE 202",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451204",
            "telephone_number": "818-361-7358",
            "fax_number": "818-361-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS S . RODRIGUEZ, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "MUGAVERO",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-361-7358"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A39921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A399211",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.