Active NPI
Lizeth Rodriguez, FNP
- Family Nurse Practitioner
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95030665
- Practice address
- 701 E Channel St
Stockton, CA 95202-2628 - Phone
- (209) 944-4700
- NPI assigned
- Jul 15, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 757937 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95030665 | CA | Primary |
Addresses
Primary practice location
701 E Channel St
Stockton, CA 95202-2628
Mailing address
212 Dean CT
Brentwood, CA 94513-1075
Phone (415) 516-3785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1351 24TH Ave
Suite 207 208
San Francisco, CA 94122-1616
Phone (415) 682-1991
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 757937 | CA | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City & County of San Francisco | Current | Accepting new patients | |
| City and County of San Francisco | Current | Accepting new patients |
Locations
1351 24th Ave
Ste 207208
San Francisco, CA 94122
Phone (415) 682-1991
1351 24th Ave
San Francisco, CA 94122
Phone (415) 682-1900
Interoperability endpoints
- lrodriguez797957@direct.ochin.org
- lizeth.rodriguez.p1@direct.cmcentersinc.nextgenshare.com
Organizations & group practices 3
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 San Francisco Public Health Laboratory
- Clinical Medical Laboratory
- San Francisco, CA
- NPI 1982737524
-
- Primary Care Clinic/Center
- San Francisco, CA
- NPI 1598705451
-
dba DSAAM OTOP Methadone Maintenance
- Methadone Clinic
- San Francisco, CA
- NPI 1578787925
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Zuckerberg San Francisco General Hospital and Trauma Center- Acute
- General Acute Care Hospital
- San Francisco, CA
- NPI 1083648810
-
dba Zuckerberg San Francisco General Hospital and Trauma Center - Acute
- General Acute Care Hospital
- San Francisco, CA
- NPI 1164609962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1518374263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 DEAN CT",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945131075",
"telephone_number": "415-516-3785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E CHANNEL ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022628",
"telephone_number": "209-944-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LIZETH",
"name_prefix": "Miss",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2024-10-25",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "757937",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95030665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.