Individual provider Active NPI

Micah Michelle Rodriguez, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Escondido, CA
National Provider Identifier
1679073407
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033352 Issued in CA
Practice address
426 N Date St
Escondido, CA 92025-3409
Phone
(822) 867-4642
NPI assigned
Feb 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95033352 CA Primary

Addresses

Primary practice location

426 N Date St
Escondido, CA 92025-3409

Mailing address

426 N Date St
Escondido, CA 92025-3409
Phone (833) 867-4642

Other practice location 1

3900 Fifth Ave Ste 140
San Diego, CA 92103-3198
Phone (858) 355-9887

Other practice location 2

4275 Mission Bay Dr Ste 103
San Diego, CA 92109-5775
Phone (858) 731-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260406003460 CA Practitioner - Nurse Practitioner 3678048832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

215 S Hickory St
Escondido, CA 92025-4359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
95033352CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare CurrentSince Feb 9, 2026 Accepting new patients
Killeen Pediatric Care Clinic, P.a. Past Accepting new patients
Neighborhood Healthcare PastSince Feb 9, 2026 Accepting new patients
Monica Perlman MD Inc. Past Accepting new patients

Locations

426 N Date St
Escondido, CA 92025
Phone (760) 690-5900

460 N Elm St
Escondido, CA 92025
Phone (760) 520-8100

425 N Date St
#0
Escondido, CA 92025

426 N Date St
Ste 203
Escondido, CA 92025
Phone (760) 690-5900

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1679073407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 N DATE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253409",
            "telephone_number": "833-867-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 N DATE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253409",
            "telephone_number": "822-867-4642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Fifth Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921033198",
            "country_code": "US",
            "telephone_number": "858-355-9887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4275 Mission Bay Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921095775",
            "country_code": "US",
            "telephone_number": "858-731-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MICAH",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.