Active NPI
Arlene Rodriguez
- Nurse Practitioner
- Fontana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP95027786
- Practice address
- 17500 Foothill Blvd
Fontana, CA 92335-3736 - Phone
- (909) 428-0170
- NPI assigned
- Jun 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP95027786 | CA | Primary |
| Registered Nurse | 163W00000X | 776895 | CA |
Addresses
Primary practice location
17500 Foothill Blvd
Fontana, CA 92335-3736
Mailing address
17959 Buckeye CT
Fontana, CA 92336-2308
Phone (909) 538-6986
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)
17500 Foothill Blvd
Suite A2
Fontana, CA 92335-3798
Phone (909) 428-0170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 776895 | CA | MD | Registered Nurse |
| NP95027786 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unicare Community Health Center Inc | Current | Accepting new patients | |
| Unicare Community Health Center Inc | Current | Accepting new patients | |
| Unicare Community Health Center, Inc. | Current | Accepting new patients | |
| Joseph M Molina MD Professional Corporation - Southern California | Past | Accepting new patients |
Locations
107 N McKinley St
Corona, CA 92879
Phone (951) 358-0141
17500 Foothill Blvd
Ste A2
Fontana, CA 92335
Phone (909) 428-0170
16127 Foothill Blvd
Fontana, CA 92335
Phone (909) 347-0700
1151 E Walnut St
Ontario, CA 91761
Phone (909) 467-0797
437 N Euclid Ave
Ontario, CA 91762
Phone (909) 749-1835
1501 E Holt Ave
Ste A
Pomona, CA 91767
Phone (909) 623-3600
Interoperability endpoints
- arlene.rodriguezfnp@mcauc-ca.direct.office.nextgen.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Riverside, CA
- NPI 1639066491
-
- Federally Qualified Health Center (FQHC)
- Moreno Valley, CA
- NPI 1881151827
-
- Federally Qualified Health Center (FQHC)
- Huntington Park, CA
- NPI 1871484618
-
- Obstetrics & Gynecology Physician
- Ontario, CA
- NPI 1710478177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1649013301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17959 BUCKEYE CT",
"city": "FONTANA",
"state": "CA",
"postal_code": "923362308",
"telephone_number": "909-538-6986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17500 FOOTHILL BLVD",
"city": "FONTANA",
"state": "CA",
"postal_code": "923353736",
"telephone_number": "909-428-0170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ARLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-18",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP95027786",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "776895",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.