Organization Active NPI

Dr Kristin Rodriguez Medical Corporation

  • Emergency Medicine Physician
  • Placentia, CA
National Provider Identifier
1639200389
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
DR KRISTIN RODRIGUEZ MEDICAL CORPORATION
Practice address
1301 N Rose Dr
Placentia, CA 92870-3802
Phone
(714) 993-2000
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Kristin Rodriguez, DONPI 1205880598
Title
DO PR Esident
Phone
(562) 809-3545

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
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

1301 N Rose Dr
Placentia, CA 92870-3802

Mailing address

PO Box 10279
Westminster, CA 92685-0279
Phone (562) 809-3545

Other identifiers 1

IdentifierTypeStateIssuer
00AX69610MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1639200389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10279",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926850279",
            "telephone_number": "562-809-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N ROSE DR",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703802",
            "telephone_number": "714-993-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KRISTIN RODRIGUEZ MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "DO PR ESIDENT",
        "authorized_official_telephone_number": "562-809-3545",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX69610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.