Individual provider Active NPI

Christina Rodriguez, PA-C

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1720799737
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9986 Issued in AZ
Practice address
5845 E Still Cir Ste 104
Mesa, AZ 85206-3635
Phone
(915) 262-5865
NPI assigned
Dec 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9986 AZ Primary

Addresses

Primary practice location

5845 E Still Cir Ste 104
Mesa, AZ 85206-3635

Mailing address

455 S Recker Rd Apt 1112
Gilbert, AZ 85296-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240217000447 AZ Practitioner - Physician Assistant 9537503511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wesley Community Center IncGroup PAC ID 9032264239, 14 clinicians

Practice addresses (Care Compare)

1300 S 10TH St
Phoenix, AZ 85034-4516
Phone (602) 368-9888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Community Center Inc Current Accepting new patients
Wesley Community Center, Inc CurrentSince Dec 23, 2023 Accepting new patients
Wesley Community Center Inc Past Accepting new patients

Locations

5845 E Still Cir
Ste 104
Mesa, AZ 85206
Phone (623) 298-1805

5845 E Still Cir
Mesa, AZ 85206
Phone (602) 257-4323

1300 S 10th St
Phoenix, AZ 85034
Phone (602) 257-4323

Interoperability endpoints

  • Direct secure messaging: christina.rodriguez-mmwchc@contexture.medalliesmail.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1720799737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S RECKER RD APT 1112",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852960001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5845 E STILL CIR STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063635",
            "telephone_number": "915-262-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CHRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.