Active NPI
Jose Francisco Rodriguez, PMHNP
- Nurse Practitioner
- Redwood City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95024208
- Practice address
- 240 Edmonds Rd Building B
Redwood City, CA 94062 - Phone
- (310) 221-6336
- NPI assigned
- Sep 7, 2020
- Last updated
- Dec 18, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 11
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
- Allina Health System
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11908 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Children's Hospital | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Nurse Practitioner | Current | Accepting new patients |
| McLaren Medical Group | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Seattle Childrens Hospital | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| McLaren Medical Group | Nurse Practitioner | Current | Accepting new patients |
| Peacehealth | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Nuvance Health Medical Practice PC | Nurse Practitioner | Current | Accepting new patients |
| Peacehealth Medical Group | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Mind 247 Practice LLC | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Mind 247 Practice LLC | Current | Accepting new patients | |
| Peacehealth Medical Group Cottage Grove | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Mind 247 Practice LLC | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| McLaren Medical Group | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Peacehealth | Current | 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
- 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.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
Nurse Practitioner
-
dba Allina Health Buffalo Specialty Clinic
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
dba River Falls Professional Services
- Emergency Medicine Physician
- River Falls, WI
- NPI 1578507513
-
dba Telepsychiatry Services
- Behavioral Neurology & Neuropsychiatry Physician
- Coon Rapids, MN
- NPI 1790286193
CA
-
dba Sparrow Regional Children's Center
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
dba Legacy Salmon Creek Providers
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
dba Bassett Medical Center
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
CA
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1902472467
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.