Edgar Rodriguez, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

33517 Issued in CA

Practice address

4507 Bridgeview Ave
Pico Rivera, CA 90660-1940

Phone

(562) 415-3805

NPI assigned

May 11, 2017

Last updated

May 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Dr. Edgar Rodriguez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1649706425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 BRIDGEVIEW AVE",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906601940",
            "telephone_number": "562-415-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 BRIDGEVIEW AVE",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906601940",
            "telephone_number": "562-415-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EDGAR",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33517",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "33517",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "CA",
            "license": "33517",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "33517",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDGAR",
            "last_name": "RODRIGUEZ",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sandra Theresa Rivera
• Vanessa Rivera, ASW
• Riviera Nursing & Convalescent Home, Inc.
• Nancy Rodriguera
• Destinie Rodriguez
• Esperanza Rodriguez
• Jessica Rodriguez, OTR
• Jessica M Rodriguez, FNP
• Roxana E Rodriguez, RDA
• Kimberly Rojas

• Sports Physician Chiropractor in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.