Organization Active NPI

Elias S Rodriguez MD

  • Internal Medicine Physician
  • Salinas, CA
National Provider Identifier
1649672767
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G77669 Issued in CA
Legal business name
ELIAS S RODRIGUEZ MD
Practice address
622 E Alisal St
Suite 1
Salinas, CA 93905-2668
Phone
(831) 757-6191
Fax
(831) 757-0251
NPI assigned
Sep 19, 2014
Organization subpart
Yes
Parent organization
RIO DEL MAR MEDICAL CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Dr. Elias S Rodriguez, MDNPI 1730295395
Title
Owner
Phone
(831) 722-4016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G77669 CA Primary

Addresses

Primary practice location

622 E Alisal St
Suite 1
Salinas, CA 93905-2668

Mailing address

10 W 5TH St
Watsonville, CA 95076-4202
Phone (831) 722-4016

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ19447ZOtherCAMEDICARE GROUP

National Provider Directory

National Provider Directory
Tax ID family
Rio del Med CT2 organizations share this tax ID, including this one
Part of
Rio del Med CT

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10 W 5th St
Watsonville, CA 95076
Phone (831) 722-4016

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1649672767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W 5TH ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764202",
            "telephone_number": "831-722-4016",
            "fax_number": "831-722-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 E ALISAL ST",
            "address_2": "SUITE 1",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939052668",
            "telephone_number": "831-757-6191",
            "fax_number": "831-757-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIAS S RODRIGUEZ MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIO DEL MAR MEDICAL CLINIC",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-722-4016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G77669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "ZZZ19447Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.