Individual provider Active NPI

Rodolfo Joel Rascon, DC

  • Health Educator
  • Palm Springs, CA
National Provider Identifier
1649966904
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
655 N Palm Canyon Dr Ste 212
Palm Springs, CA 92262-5529
Phone
(760) 819-3533
NPI assigned
Apr 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X CA Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

655 N Palm Canyon Dr Ste 212
Palm Springs, CA 92262-5529

Mailing address

7525 Sherman Hoyt Ave
Twentynine Palms, CA 92277-3946
Phone (760) 529-7513

Other practice location 1

1100 W Town and Country Rd Ste 1250
Orange, CA 92868-4633
Phone (949) 357-2556

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

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1649966904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 SHERMAN HOYT AVE",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922773946",
            "telephone_number": "760-529-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 N PALM CANYON DR STE 212",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625529",
            "telephone_number": "760-819-3533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W Town and Country Rd Ste 1250",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684633",
            "country_code": "US",
            "telephone_number": "949-357-2556",
            "fax_number": "855-568-2494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASCON",
        "first_name": "RODOLFO",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-11",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.