Elias S Rodriguez, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G77669 Issued in CA

Practice address

10 W 5TH St
Watsonville, CA 95076-4202

Phone

(831) 722-4016

Fax

(831) 722-7756

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: General Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Rio del Mar Medical Clinic

  • Internal Medicine Physician
  • Watsonville, CA
  • NPI 1073726246
  Medicare reassignment Authorized official
• Elias S Rodriguez MD

  • Internal Medicine Physician
  • Salinas, CA
  • NPI 1649672767
  NPD Authorized official

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1730295395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W 5TH ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764202",
            "telephone_number": "831-722-4016",
            "fax_number": "831-722-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W 5TH ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764202",
            "telephone_number": "831-722-4016",
            "fax_number": "831-722-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ELIAS",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G77669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G776691",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110230847",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lupe Rocha
• Sabrena Rodgers, MSW
• Priscila Viviana Rodriguez-Medrano
• Alejandra Marlene Rodriguez
• Alham Rodriguez
• Erika Rodriguez
• Gisela Rodriguez
• Guillermo Rodriguez
• Jesus Trujillo Rodriguez
• Tommy Morales Rodriguez Jr., D.C.

• Internal Medicine Physician in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.