Irma Alvarado Rodriguez, RNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

95014283 Issued in CA

Practice address

8112 Milliken Ave Ste 100
Rancho Cucamonga, CA 91730-7472

Phone

(909) 466-6410

NPI assigned

Jul 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Irma A Rodriguez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: irma.rodriguez.1@26559.direct.athenahealth.com

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1760035182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 N GREENWOOD AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917643510",
            "telephone_number": "951-201-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 MILLIKEN AVE STE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307472",
            "telephone_number": "909-466-6410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 N Greenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917643510",
            "country_code": "US",
            "telephone_number": "951-201-0436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1183 E Foothill Blvd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864082",
            "country_code": "US",
            "telephone_number": "909-931-1368",
            "fax_number": "909-259-2177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "IRMA",
        "middle_name": "ALVARADO",
        "name_prefix": "Mrs.",
        "credential": "RNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014283",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95014283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205G1E2K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRMA",
            "last_name": "RODRIGUEZ",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "RNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chriselle Rodriguez
• Christian Enzo Rodriguez
• Desteny Rodriguez
• Elizabeth McKail Rodriguez
• Esther Angelica Rodriguez
• Ivon Rodriguez
• Jeremi Rae Rodriguez
• Jessica Marie Rodriguez
• Karina Rodriguez
• Kimberly Rodriguez

• Gerontology Nurse Practitioner in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.