Organization Active NPI

Premier Rheumatology, P. C.

  • Rheumatology Physician
  • Fresno, CA
National Provider Identifier
1609750793
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
PREMIER RHEUMATOLOGY, P. C.
Practice address
1189 E Herndon Ave Ste 101
Fresno, CA 93720-3167
Phone
(559) 421-3768
Fax
(855) 538-9966
NPI assigned
Aug 2, 2025
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Dr. Alicia Rodriguez Pla, MD, PHD, MPHNPI 1083050025
Title
Owner, President
Phone
(559) 421-3768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X Primary

Addresses

Primary practice location

1189 E Herndon Ave Ste 101
Fresno, CA 93720-3167

Mailing address

1189 E Herndon Ave Ste 101
Fresno, CA 93720-3167
Phone (559) 421-3768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251009002907 CA Part B Supplier - Clinic/Group Practice 2567969033 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2340538Premier Rheumatology, PC1189 E Herndon Ave, Suite 101, Fresno, CA 93720Certificate of waiverMar 17, 2028

National Provider Directory

National Provider Directory

Locations

1189 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (214) 906-4672

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1754092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1609750793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 E HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203167",
            "telephone_number": "559-421-3768",
            "fax_number": "855-538-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 E HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203167",
            "telephone_number": "559-421-3768",
            "fax_number": "855-538-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER RHEUMATOLOGY, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-02",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ PLA",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "559-421-3768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD, MPH"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.