Individual provider Active NPI

Benjamin R Rodriguez, MMS, PA-C

  • Physician Assistant
  • Union Gap, WA
National Provider Identifier
1588998645
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.PA.60108079 Issued in WA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091209000468 WA Practitioner - Physician Assistant 7315086063 Reassigns benefits to 3 organizations

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
SHC Medical Center ToppenishGroup PAC ID 4082980065, 43 clinicians

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

LicenseStateTypeSpecialty
PA 60108079WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SHC Medical Center Toppenish CurrentSince Jul 28, 2024 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Sep 1, 2016 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Sep 1, 2016 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Sep 1, 2016 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.