Organization Active NPI

Jorge E. Rodriguez M.D. Inc.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1699730044
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
JORGE E. RODRIGUEZ M.D. INC.
Practice address
5901 W Olympic Blvd Ste 303
Los Angeles, CA 90036
Phone
(323) 934-3690
Fax
(323) 934-3691
NPI assigned
Apr 19, 2006
Last updated
Jul 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Authorized official

Name
Dr. Jorge Rodriguez, M.D.
Title
Medical Director
Phone
(323) 934-3690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

5901 W Olympic Blvd Ste 303
Los Angeles, CA 90036

Mailing address

5901 W Olympic Blvd Ste 303
Los Angeles, CA 90036-4664
Phone (323) 934-3690

National Provider Directory

National Provider Directory

Locations

361 Hospital Rd
Ste 126
Newport Beach, CA 92663
Phone (562) 984-7024

496 Old Newport Blvd
Ste 4
Newport Beach, CA 92663
Phone (949) 646-1111

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1699730044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364664",
            "telephone_number": "323-934-3690",
            "fax_number": "323-934-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90036",
            "telephone_number": "323-934-3690",
            "fax_number": "323-934-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE E. RODRIGUEZ M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-934-3690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.