Individual provider Active NPI

Libby Rodriguez, NP

  • Family Nurse Practitioner
  • Baldwin Park, CA
National Provider Identifier
1629616305
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012738 Issued in CA
Practice address
4070 Sterling Way
Baldwin Park, CA 91706-4223
Phone
(323) 580-4168
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95012738 CA Primary

Addresses

Primary practice location

4070 Sterling Way
Baldwin Park, CA 91706-4223

Mailing address

8080 Whitaker St Apt 1
Buena Park, CA 90621-3555
Phone (323) 580-4168

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230306000484 CA Practitioner - Nurse Practitioner 2567835903 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Pasadena and San Gabriel Valley Inc CurrentSince Nov 11, 2022 Accepting new patients

Locations

2333 Lake Ave
Fl 2
Altadena, CA 91001
Phone (626) 794-5737

4070 Sterling Way
Baldwin Park, CA 91706
Phone (626) 337-1360

130 W Route 66
Ste 100
Glendora, CA 91740
Phone (626) 644-7926

5903 N Figueroa St
Los Angeles, CA 90042
Phone (626) 798-0706

620 N Lake Ave
Pasadena, CA 91101
Phone (626) 793-7350

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1629616305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 WHITAKER ST APT 1",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213555",
            "telephone_number": "323-580-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 STERLING WAY",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917064223",
            "telephone_number": "323-580-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LIBBY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

Verify at the official NPI Registry.