Active NPI
Yvonne Rodriguez, NP
- Family Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95026483
- Practice address
- 1731 E 120TH St
Los Angeles, CA 90059-3051 - Phone
- (323) 563-4800
- NPI assigned
- Oct 25, 2023
- Last updated
- Oct 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95026483 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | 95026483 | CA | |
| Community Health Nurse Practitioner | 363LC1500X | 95026483 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95026483 | CA | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 95026483 | CA | |
| Primary Care Nurse Practitioner | 363LP2300X | 95026483 | CA | |
| Clinical Pharmacology Physician | 208U00000X | 95026483 | CA |
Addresses
Primary practice location
1731 E 120TH St
Los Angeles, CA 90059-3051
Mailing address
1731 E 120TH St
Los Angeles, CA 90059-3051
Phone (323) 563-4800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 S Long Beach Blvd
Compton, CA 90221-3423
Phone (310) 627-5850
4525 E Atherton St
Long Beach, CA 90815-3700
Phone (562) 961-0155
4800 E Los Coyotes Diagonal
Long Beach, CA 90815-2897
Phone (562) 506-1313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95026483 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Roads Foundation, Inc. | Current | Accepting new patients | |
| The Roads Foundation, Inc | Past | Accepting new patients |
Locations
121 S Long Beach Blvd
Compton, CA 90221
Phone (310) 627-5850
14111 Van Ness Ave
Ste 2
Gardena, CA 90249
Phone (310) 516-9152
4525 E Atherton St
Long Beach, CA 90815
Phone (562) 961-0155
3737 Martin Luther King Jr Blvd
Ste 402
Lynwood, CA 90262
Phone (310) 609-3890
16415 Colorado Ave
Ste 308
Paramount, CA 90723
Phone (562) 630-5581
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFCDAD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ROADS Community Clinic - East Long Beach
- Clinic/Center
- Long Beach, CA
- NPI 1669812392
-
dba ROADS Community Care Clinic
- Community Health Clinic/Center
- Compton, CA
- NPI 1508278359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1639941362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1731 E 120TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593051",
"telephone_number": "323-563-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1731 E 120TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593051",
"telephone_number": "323-563-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "YVONNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-25",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95026483",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95026483",
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "CA",
"license": "95026483",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95026483",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95026483",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95026483",
"primary": false
},
{
"code": "208U00000X",
"taxonomy_group": "",
"desc": "Clinical Pharmacology",
"state": "CA",
"license": "95026483",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.