Individual provider Active NPI

Joshua Rodgers, CNA

  • Adult Companion
  • Los Angeles, CA
National Provider Identifier
1720408685
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
892204 Issued in CA
Practice address
7245 Hillside Ave
Apt 114
Los Angeles, CA 90046-2360
Phone
(323) 399-8801
NPI assigned
Apr 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X 892204 CA Primary
Personal Care Attendant 3747P1801X 892204 CA
Nurse's Aide 376K00000X 892204 CA

Addresses

Primary practice location

7245 Hillside Ave
Apt 114
Los Angeles, CA 90046-2360

Mailing address

7245 Hillside Ave
Apt 114
Los Angeles, CA 90046-2360
Phone (323) 399-8801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
892204CAMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1720408685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7245 HILLSIDE AVE",
            "address_2": "APT 114",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900462360",
            "telephone_number": "323-399-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7245 HILLSIDE AVE",
            "address_2": "APT 114",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900462360",
            "telephone_number": "323-399-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "JOSHUA",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "CA",
            "license": "892204",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "CA",
            "license": "892204",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "CA",
            "license": "892204",
            "primary": false
        }
    ],
    "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 Apr 18, 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.