Individual provider Active NPI

Maria Victoria Rodriguez, FNP-C

  • Family Nurse Practitioner
  • Murrieta, CA
National Provider Identifier
1649017773
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030828 Issued in CA
Practice address
25485 Medical Center Dr Ste 204
Murrieta, CA 92562-6927
Phone
(951) 696-7632
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 586595 CA
Family Nurse Practitioner 363LF0000X 95030828 CA Primary

Addresses

Primary practice location

25485 Medical Center Dr Ste 204
Murrieta, CA 92562-6927

Mailing address

30141 Antelope Rd Ste D
Menifee, CA 92584-8066
Phone (909) 263-5134

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909004166 CA Practitioner - Nurse Practitioner 1052851771 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
586595CAMDRegistered Nurse
95030828CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Hematology Oncology Medical Group, Inc CurrentSince Aug 13, 2024 Accepting new patients
Molina Healthcare of California CurrentSince Sep 22, 2025 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Sep 22, 2025 Accepting new patients
Southwest Hematology Oncology Medical Group PastSince Jul 21, 2024 Accepting new patients

Locations

201 Laursen St
Hemet, CA 92543
Phone (909) 652-8338

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

25485 Medical Center Dr
Ste 204
Murrieta, CA 92562
Phone (951) 696-7632

Interoperability endpoints

  • Direct secure messaging: mrodriguez20365@direct-prd.molinahealthcare.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.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1649017773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30141 ANTELOPE RD STE D",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925848066",
            "telephone_number": "909-263-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25485 MEDICAL CENTER DR STE 204",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626927",
            "telephone_number": "951-696-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARIA",
        "middle_name": "VICTORIA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "586595",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.