Active NPI
Benjamin R Rodriguez, MMS, PA-C
- Physician Assistant
- Union Gap, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.PA.60108079
- Practice address
- 1420 Ahtanum Ridge Dr
Union Gap, WA 98903-1839 - Phone
- (509) 454-7700
- Fax
- (509) 454-7710
- NPI assigned
- Sep 22, 2009
- Last updated
- Jul 17, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.PA.60108079 | WA | Primary |
Addresses
Primary practice location
1420 Ahtanum Ridge Dr
Union Gap, WA 98903-1839
Mailing address
PO Box 719
Sunnyside, WA 98944-0719
Phone (509) 837-1617
Other practice location 1
803 E Lincoln Ave
Sunnyside, WA 98944-2383
Phone (509) 837-6911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1420 Ahtanum Ridge Dr
Union Gap, WA 98903-1839
Phone (509) 454-7700
502 W 4TH Ave
Toppenish, WA 98948-1616
Phone (509) 865-3105
516 W 4TH Ave
Toppenish, WA 98948-1616
Phone (509) 865-2500
803 E Lincoln Ave
Sunnyside, WA 98944-2383
Phone (509) 837-6911
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 60108079 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SHC Medical Center Toppenish | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Past | Accepting new patients | |
| Sunnyside Community Hospital Association | Past | Accepting new patients | |
| Yakima Hma Physician Management LLC | Past | Accepting new patients |
Locations
355 Chardonnay Ave
Prosser, WA 99350
Phone (509) 781-6366
1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682
2201 E Edison Rd
Sunnyside, WA 98944
Phone (509) 837-3090
2705 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 836-4848
2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949
500 S 11th St
Sunnyside, WA 98944
Phone (509) 837-1722
803 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 837-3933
502 W 4th Ave
Toppenish, WA 98948
Phone (509) 865-1520
1420 Ahtanum Ridge Dr
Union Gap, WA 98903
Phone (509) 454-7700
111 S 11th Ave
Ste 321
Yakima, WA 98902
Phone (509) 575-5071
2501 Business Ln
Yakima, WA 98901
Phone (509) 575-4800
3907 Creekside Loop
Ste 130
Yakima, WA 98902
Phone (509) 225-4555
915 Vintage Valley Pkwy
Ste 200
Zillah, WA 98953
Phone (509) 314-6565
Organizations & group practices 8
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 Astria Sunnyside Hospital
- Critical Access Hospital
- Sunnyside, WA
- NPI 1225033814
-
dba Astria Toppenish Hospital
- General Acute Care Hospital
- Toppenish, WA
- NPI 1851817308
-
dba Astria Health Center
- Rural Health Clinic/Center
- Sunnyside, WA
- NPI 1679521637
-
dba Astria Health Center
- Rural Health Clinic/Center
- Union Gap, WA
- NPI 1013492784
-
dba Astria Health Center
- Clinic/Center
- Yakima, WA
- NPI 1366951576
-
dba Astria Health Center
- Rural Health Clinic/Center
- Sunnyside, WA
- NPI 1407289184
-
dba Astria Health Center
- Clinic/Center
- Yakima, WA
- NPI 1609395060
-
- Family Medicine Physician
- Yakima, WA
- NPI 1730139510
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kittitas Valley Community Hospital
- Critical Access Hospital
- Ellensburg, WA
- NPI 1356375307
-
dba Astria Toppenish Hospital
- General Acute Care Hospital
- Toppenish, WA
- NPI 1851817308
-
dba Astria Sunnyside Hospital
- Critical Access Hospital
- Sunnyside, WA
- NPI 1225033814
-
dba MultiCare Yakima Memorial Hospital
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1588998645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 719",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989440719",
"telephone_number": "509-837-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 AHTANUM RIDGE DR",
"city": "UNION GAP",
"state": "WA",
"postal_code": "989031839",
"telephone_number": "509-454-7700",
"fax_number": "509-454-7710"
}
],
"practiceLocations": [
{
"address_1": "803 E Lincoln Ave",
"address_purpose": "LOCATION",
"city": "Sunnyside",
"state": "WA",
"postal_code": "989442383",
"country_code": "US",
"telephone_number": "509-837-6911",
"fax_number": "509-837-6920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "BENJAMIN",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "MMS, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-22",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA.PA.60108079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union Gap, WA
- Jessica Renee Ramynke, LPN
- Renal Treatment Centers West Inc (Union Gap Dialysis)
- John Erik Richardson I, PHARMD
- Douglas Robert Ricks, O.D.
- Stephen Ezra Robertson, PHARM.D.
- Mandy J Rodriguez, LICSW
- Christopher Michael Rood, DNP, FNP-BC
- Ryan Coyle OD PS (Coyle Vision)
- Maria Salazar
- Kimberly G Sales, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.