Vincent Antonio Rodriguez

Individual provider Active NPI Speech-Language Pathologist · Thermal, CA

NPI 1629987359 · NPPES record last updated Sep 7, 2026

Key facts

NPI
1629987359
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
22667 (CA)
Practice address
87225 Church St
Thermal, CA 92274-8901
Phone
(760) 848-1000
NPI assigned
Sep 7, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22667 CA Yes

Addresses

Primary practice location

87225 Church St
Thermal, CA 92274-8901

Mailing address

18538 Lakepointe Dr
Riverside, CA 92503-0226
Phone (951) 902-3076

Other providers in Thermal, CA

All providers in Thermal, CA · Speech-Language Pathologist in California

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.