Angel Vanni Rodriguez, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

293403 Issued in CA

Practice address

200 S 5TH St
El Centro, CA 92243-3013

Phone

(760) 482-0864

Fax

(760) 482-9185

NPI assigned

Jul 24, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Medical Treatment Center

  • Methadone Clinic
  • El Centro, CA
  • NPI 1649473695
  NPD (past)

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1710464698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 SANDALWOOD DR",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433739",
            "telephone_number": "760-960-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 5TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433013",
            "telephone_number": "760-482-0864",
            "fax_number": "760-482-9185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Cesar Chavez Blvd",
            "address_purpose": "LOCATION",
            "city": "Calexico",
            "state": "CA",
            "postal_code": "922312103",
            "country_code": "US",
            "telephone_number": "760-357-6566",
            "fax_number": "760-357-0849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ANGEL",
        "middle_name": "VANNI",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "293403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humberto Rodriguez Vargas
• Natalia Jeanette Rodriguez-Flores
• Viviane Stephany Rodriguez-Velasquez
• Alicia Ibeth Rodriguez
• Ana Karen Rodriguez, RDN
• Ann Marie Rodriguez
• Blanca Haydee Rodriguez
• Brianda Rodriguez
• Brianna Melany Rodriguez
• Gabrielle Arianna Rodriguez

• Licensed Vocational Nurse in El Centro, CA
• Providers in El Centro, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.