Organization Active NPI

David Hernandez- Rodriguez M.D. Inc.

  • Internal Medicine Physician
  • Victorville, CA
National Provider Identifier
1689086399
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A102591 Issued in CA
Legal business name
DAVID HERNANDEZ- RODRIGUEZ M.D. INC.
Practice address
14829 Seventh St Ste D
Victorville, CA 92395-4009
Phone
(760) 245-6925
Fax
(760) 243-6251
NPI assigned
May 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
David Hernandez - Rodriguez, MD
Title
President
Phone
(760) 245-6925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X A102591 CA Primary

Addresses

Primary practice location

14829 Seventh St Ste D
Victorville, CA 92395-4009

Mailing address

14829 Seventh St Ste D
Victorville, CA 92395-4009
Phone (760) 245-6925

National Provider Directory

National Provider Directory
Tax ID family
David Hernandez- Rodriguez MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1689086399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14829 SEVENTH ST STE D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954009",
            "telephone_number": "760-245-6925",
            "fax_number": "760-243-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14829 SEVENTH ST STE D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954009",
            "telephone_number": "760-245-6925",
            "fax_number": "760-243-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID HERNANDEZ- RODRIGUEZ M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ - RODRIGUEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-245-6925",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A102591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.