Active NPI
Luis A Rodriguez, PHD, MPH, RD
- Pediatric Nutrition Registered Dietitian
- San Francisco, CA
National Provider Identifier
1639627185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- 1024355
- Practice address
- 1855 4TH St
Box 4002
San Francisco, CA 94143-2350 - Phone
- (415) 353-8247
- NPI assigned
- Sep 13, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 1024355 | CA | Primary |
Addresses
Primary practice location
1855 4TH St
Box 4002
San Francisco, CA 94143-2350
Mailing address
550 16TH St FL 2
San Francisco, CA 94158-2545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1024355 | CA | MD | Pediatric Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702771200000",
"number": "1639627185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 16TH ST FL 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941582545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 4TH ST",
"address_2": "BOX 4002",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432350",
"telephone_number": "415-353-8247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LUIS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD, MPH, RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-13",
"last_updated": "2023-12-17",
"certification_date": "2023-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "CA",
"license": "1024355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.