Mark J Rodrigues MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A46340 Issued in CA

Legal business name

MARK J RODRIGUES MD INC

Practice address

1140 W la Veta Ave Ste 470
Orange, CA 92868-4200

Phone

(714) 245-9933

Fax

(714) 245-9923

NPI assigned

Apr 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mark J Rodrigues, M.D.NPI 1417977992

Title

President

Phone

(714) 245-9933

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DEFAAA

Practitioners 1

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

• Mark Jervis Rodrigues, M.D.

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1417977992
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1598909418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 470",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684200",
            "telephone_number": "714-245-9933",
            "fax_number": "714-245-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 470",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684200",
            "telephone_number": "714-245-9933",
            "fax_number": "714-245-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J RODRIGUES MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-245-9933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A46340",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A46340",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A463400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariposa Women and Family Cetner
• Adriana Angelica Mariscal, FNP-C
• Maria Isabel Mariscal
• Michelle Nona Mariscal
• Mark a. George D.D.S., Inc
• Mark J. Mroch, DDS,Dental Corp.
• Mark Lum Psychological Services
• Hope E Markley
• Ernest Markovich
• Barry Leroy Marks, DC

• Internal Medicine Physician in Orange, CA
• Providers in Orange, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.