Individual provider Active NPI

Rosa Linda Espinoza Rodas, PHD MFT

  • Clinical Psychologist
  • San Juan Capistrano, CA
National Provider Identifier
1730307687
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY17309 Issued in CA
Practice address
31952 Camino Capistrano Ste C12
San Juan Capistrano, CA 92675
Phone
(949) 498-6987
Fax
(949) 492-0487
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY17309 CA Primary

Addresses

Primary practice location

31952 Camino Capistrano Ste C12
San Juan Capistrano, CA 92675

Mailing address

PO Box 3523
San Clemente, CA 92674
Phone (949) 498-6987

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312002295 CA Practitioner - Clinical Psychologist 0749454163 Practice locations: San Clemente, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

San Clemente, CA 92672
Phone (949) 212-6371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730307687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3523",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92674",
            "telephone_number": "949-498-6987",
            "fax_number": "949-492-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31952 CAMINO CAPISTRANO STE C12",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-498-6987",
            "fax_number": "949-492-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA RODAS",
        "first_name": "ROSA",
        "middle_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "PHD MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

Verify at the official NPI Registry.