Active NPI
Carmenza Rodriguez
- Psychologist
- Daly City, CA
National Provider Identifier
1649397613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY10190
- Practice address
- 375 89TH St
Daly City, CA 94015-1802 - Phone
- (650) 301-8692
- Fax
- (650) 301-8639
- NPI assigned
- Mar 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY10190 | CA | Primary |
Addresses
Primary practice location
375 89TH St
Daly City, CA 94015-1802
Mailing address
375 89TH St
Daly City, CA 94015-1802
Phone (650) 301-8692
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10190 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649397613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 89TH ST",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940151802",
"telephone_number": "650-301-8692",
"fax_number": "650-301-8639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 89TH ST",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940151802",
"telephone_number": "650-301-8692",
"fax_number": "650-301-8639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "CARMENZA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY10190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.