Active NPI
Rodolfo E Saenz, M.D.
- Obstetrics & Gynecology Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A055646
- Practice address
- 4646 Brockton Ave Ste 201
Riverside, CA 92506-0104 - Phone
- (951) 585-1800
- Fax
- (951) 585-1801
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 35074074 | OH | |
| Obstetrics & Gynecology Physician | 207V00000X | A055646 | CA | Primary |
Addresses
Primary practice location
4646 Brockton Ave Ste 201
Riverside, CA 92506-0104
Mailing address
4646 Brockton Ave Ste 201
Riverside, CA 92506-0104
Phone (951) 585-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2069390 | Medicaid | OH |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35074074 | OH | MD | Specialist |
| A055646 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altais Medical Group - Riverside, Inc. | Current | Accepting new patients | |
| Amg, a Professional Medical Corporation | Current | Accepting new patients |
Locations
925 S Garfield Ave
Alhambra, CA 91801
Phone (626) 300-8388
710 N Euclid St
Ste 101
Anaheim, CA 92801
Phone (714) 517-2000
3975 Jackson St
Ste 309
Riverside, CA 92503
4646 Brockton Ave
Ste 201
Riverside, CA 92506
Phone (951) 585-1800
3975 Jackson St
Ste 102
Riverside, CA 92503
Phone (951) 335-8054
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rodolfo.saenz@662570498326532.direct.elationemr.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Riverside, CA
- NPI 1518629575
-
- Internal Medicine Physician
- Alhambra, CA
- NPI 1558306266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1538165196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4646 BROCKTON AVE STE 201",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925060104",
"telephone_number": "951-585-1800",
"fax_number": "951-585-1801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 BROCKTON AVE STE 201",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925060104",
"telephone_number": "951-585-1800",
"fax_number": "951-585-1801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAENZ",
"first_name": "RODOLFO",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "35074074",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A055646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2069390",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.