Individual provider Active NPI

Jose Francisco Rodriguez, PMHNP

  • Nurse Practitioner
  • Redwood City, CA
National Provider Identifier
1669086641
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95024208 Issued in CA
Practice address
240 Edmonds Rd Building B
Redwood City, CA 94062
Phone
(310) 221-6336
NPI assigned
Sep 7, 2020
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP028851 PA
Nurse Practitioner 363L00000X 95024208 CA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61096819 WA

Addresses

Primary practice location

240 Edmonds Rd Building B
Redwood City, CA 94062

Mailing address

240 Edmonds Rd Building B
Redwood City, CA 94062
Phone (310) 221-6336

Other practice location 1

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6516

Other practice location 2

400 Estudillo Ave Ste 100
San Leandro, CA 94577-4962
Phone (510) 924-0548

Other practice location 3

400 NE Mother Joseph Pl
Vancouver, WA 98664-3200
Phone (360) 514-3191

Other practice location 4

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 636-4836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AZ, NY, CT, OR, MN, WI, CA, PA, AK, MI11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20201007000606 WA Practitioner - Nurse Practitioner 4183043383 Reassigns benefits to 9 organizations
I20220606002043 AZ Practitioner - Nurse Practitioner 4183043383 Reassigns benefits to 1 organization
I20230420001073 NY Practitioner - Nurse Practitioner 4183043383 Reassigns benefits to 1 organization
I20230725000944 CT Practitioner - Nurse Practitioner 4183043383 Reassigns benefits to 1 organization
I20230824002628 OR Practitioner - Nurse Practitioner 4183043383 Reassigns benefits to 5 organizations
I20231127002279 MN Practitioner - Nurse Practitioner 4183043383 Reassigns benefits to 1 organization
I20231128000849 WI Practitioner - Nurse Practitioner 4183043383 Reassigns benefits to 1 organization
I20240227000752 CA Practitioner - Nurse Practitioner 4183043383 Reassigns benefits to 11 organizations
I20240522001991 PA Practitioner - Nurse Practitioner 4183043383 Reassigns benefits to 1 organization
I20240823002214 AK Practitioner - Nurse Practitioner 4183043383 Reassigns benefits to 2 organizations
I20241007002758 MI Practitioner - Nurse Practitioner 4183043383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

San Francisco, CA 94158
Phone (541) 222-2185

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7711

1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (763) 236-7130

45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11908CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Children's Hospital Current Accepting new patients
Trinity Health of New England Provider Network Organization Inc Nurse Practitioner CurrentSince Aug 7, 2023 Accepting new patients
McLaren Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Aug 11, 2024 Accepting new patients
Peacehealth CurrentSince Dec 18, 2024 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 7, 2023 Accepting new patients
Peacehealth Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Aug 11, 2024 Accepting new patients
Seattle Childrens Hospital CurrentSince Sep 24, 2020 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Aug 18, 2024 Accepting new patients
Peacehealth CurrentSince Oct 3, 2024 Accepting new patients
Allina Health System Current Accepting new patients
McLaren Medical Group Nurse Practitioner Current Accepting new patients
Peacehealth CurrentSince Oct 3, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Aug 11, 2023 Accepting new patients
Peacehealth Current Accepting new patients
Nuvance Health Medical Practice PC Nurse Practitioner CurrentSince Mar 1, 2023 Accepting new patients
Peacehealth Medical Group CurrentSince Oct 31, 2023 Accepting new patients
Allina Health System CurrentSince Oct 31, 2023 Accepting new patients
Peacehealth Current Accepting new patients
Peacehealth CurrentSince Oct 3, 2024 Accepting new patients
Peacehealth CurrentSince Oct 3, 2024 Accepting new patients
Geisinger Clinic CurrentSince Mar 18, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Peacehealth Current Accepting new patients
Tower Health Medical Group CurrentSince Jun 1, 2024 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Mind 247 Practice LLC CurrentSince Feb 25, 2022 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Aug 11, 2023 Accepting new patients
Peacehealth CurrentSince Dec 18, 2024 Accepting new patients
Mind 247 Practice LLC CurrentSince Feb 25, 2022 Accepting new patients
Peacehealth Medical Group Cottage Grove CurrentSince Oct 31, 2023 Accepting new patients
Allina Health System CurrentSince Oct 31, 2023 Accepting new patients
Peacehealth CurrentSince Oct 8, 2024 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Aug 18, 2024 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Tower Health Medical Group CurrentSince Jun 1, 2024 Accepting new patients
Mind 247 Practice LLC Current Accepting new patients
Legacy Clinics LLC CurrentSince Aug 11, 2023 Accepting new patients
Peacehealth CurrentSince Nov 22, 2025 Accepting new patients
McLaren Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Allina Health System CurrentSince Oct 31, 2023 Accepting new patients
Peacehealth CurrentSince Oct 31, 2023 Accepting new patients

Locations (25 of 44)

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

1138 S Higley Rd
Mesa, AZ 85206
Phone (480) 325-3876

2728 N 24th St
Phoenix, AZ 85008
Phone (480) 482-7020

1465 N Scottsdale Rd
Ste 400
Scottsdale, AZ 85257

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

8175 Reliable Pkwy
Chicago, IL 60686

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

400 9th St
Florence, OR 97439
Phone (541) 997-8412

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

Interoperability endpoints

  • Direct secure messaging: jrodriguez626862@direct.peacehealth.org

Organizations & group practices 43

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1669086641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 EDMONDS RD BUILDING B",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94062",
            "telephone_number": "310-221-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 EDMONDS RD BUILDING B",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94062",
            "telephone_number": "310-221-6336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178229800",
            "country_code": "US",
            "telephone_number": "570-271-6516",
            "fax_number": "570-271-5814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Estudillo Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945774962",
            "country_code": "US",
            "telephone_number": "510-924-0548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 NE Mother Joseph Pl",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986643200",
            "country_code": "US",
            "telephone_number": "360-514-3191",
            "fax_number": "360-729-3372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-636-4836",
            "fax_number": "360-636-6792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "FRANCISCO",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-07",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP028851",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95024208",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61096819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.