Primavera Rodriguez

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

10281 Kidd St
Riverside, CA 92503-3469

Phone

(951) 715-5050

NPI assigned

Aug 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• County of Riverside

  dba Homeless Mentally Ill Outreach Treatment

  • Community/Behavioral Health Agency
  • Riverside, CA
  • NPI 1598195562
  NPD

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1700496619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4688 ONTARIO MILLS PKWY",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645104",
            "telephone_number": "714-728-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10281 KIDD ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033469",
            "telephone_number": "951-715-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4688 Ontario Mills Pkwy",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917645104",
            "country_code": "US",
            "telephone_number": "714-728-3876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "PRIMAVERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Rodriguez
• Patricia Rodriguez
• Paulina Rodriguez
• Pauline Rodriguez
• Pearl Rodriguez
• Priscilla Marie Rodriguez, MSW
• Raylene Rodriguez
• Roberto Rodriguez
• Ruby Renee Rodriguez
• Sabrina Rodriguez

• Case Manager/Care Coordinator in Riverside, CA
• Providers in Riverside, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.