Individual provider Active NPI

Allen Rodriguez

  • Family Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1639668247
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A163327 Issued in CA
Practice address
1510 E Main St Ste 104B
Santa Maria, CA 93454-4825
Phone
(805) 361-8030
Fax
(805) 361-8097
NPI assigned
May 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A163327 CA Primary

Addresses

Primary practice location

1510 E Main St Ste 104B
Santa Maria, CA 93454-4825

Mailing address

12832 Valley View St Ste B
Garden Grove, CA 92845-2501
Phone (714) 367-4547

Other practice location 1

12832 Valley View St Ste B
Garden Grove, CA 92845-2501
Phone (714) 367-4547

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200811000988 CA Practitioner - Family Practice 7012342165 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorialcare Medical FoundationGroup PAC ID 8729277314, 555 clinicians

Practice addresses (Care Compare)

150 Tejas PL
Nipomo, CA 93444-9123
Phone (805) 929-3211

17762 Beach Blvd
Suite 100
Huntington Beach, CA 92647-6860
Phone (714) 848-0080

430 S Blosser Rd
Santa Maria, CA 93458-4908
Phone (805) 361-8400

4723 W Main St
Suite H
Guadalupe, CA 93434-1787
Phone (805) 343-5577

Hospital & facility affiliations

  • Elite Hospice Hospice, Lewiston, ID, CCN 131591
  • Elite Hospice Hospice, Clarkston, WA, CCN 501533

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
81.15
Promoting interoperability
100
Improvement activities
40
Cost
71.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A163327CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Oct 31, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 11, 2021 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
UC Irvine Health Cancer Center, Newport Pacific Medical Center CurrentSince May 8, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 11, 2021 Accepting new patients
University of California Irvine CurrentSince May 8, 2023 Accepting new patients
Memorialcare Medical Foundation Family Medicine CurrentSince Jul 27, 2021 Accepting new patients
Community Health Centers of the Central Coast, Inc CurrentSince Oct 31, 2025 Accepting new patients
Scripps Health Current Accepting new patients
University of California Irvine Current Accepting new patients
Allen Rodriguez, MD Inc. Family Medicine Current Accepting new patients
Bristol Park Medical Group, Inc Family Medicine PastSince Jul 27, 2021 Accepting new patients
University of California Irvine Past Accepting new patients
Community Health Center of the Central Coast Inc Past Accepting new patients

Locations

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

300 W Carl Karcher Way
Anaheim, CA 92801
Phone (657) 282-6356

441 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 279-4000

2441 W La Palma Ave
Anaheim, CA 92801
Phone (657) 282-6356

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

12832 Valley View St
Ste B
Garden Grove, CA 92845
Phone (805) 405-7704

4723 W Main St
Ste H
Guadalupe, CA 93434
Phone (805) 343-2004

17762 Beach Blvd
Ste 100
Huntington Beach, CA 92647
Phone (714) 848-0080

9122 Adams Ave
Huntington Beach, CA 92646
Phone (714) 378-0900

2110 N Bellflower Blvd
Long Beach, CA 90815
Phone (562) 346-2222

150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254

200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001

800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324

1510 E Main St
Ste 104B
Santa Maria, CA 93454
Phone (805) 361-8030

2801 Santa Maria Way
Bldg A
Santa Maria, CA 93455
Phone (805) 938-9200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: arodriguez77545@scrippshlth.medalliesdirect.net
  • Direct secure messaging: allen.rodriguez.1@17363.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1639668247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12832 VALLEY VIEW ST STE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452501",
            "telephone_number": "714-367-4547",
            "fax_number": "714-706-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E MAIN ST STE 104B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544825",
            "telephone_number": "805-361-8030",
            "fax_number": "805-361-8097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12832 Valley View St Ste B",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928452501",
            "country_code": "US",
            "telephone_number": "714-367-4547",
            "fax_number": "714-706-0931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-09",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A163327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "441 N Lakeview Ave",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928073028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.