Individual provider Active NPI

Hector J Rodriguez, M.D.,

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1770554669
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A29728 Issued in CA
Practice address
1125 S Beverly Dr Ste 425
Los Angeles, CA 90035-1192
Phone
(310) 274-7300
Fax
(310) 274-7301
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A29728 CA Primary

Addresses

Primary practice location

1125 S Beverly Dr Ste 425
Los Angeles, CA 90035-1192

Mailing address

1125 S Beverly Dr Ste 425
Los Angeles, CA 90035-1192
Phone (310) 274-7300

Other identifiers 1

IdentifierTypeStateIssuer
00A297280MedicaidCA

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928001274 CA Practitioner - NephrologyPractitioner - NeurologyPractitioner - Internal Medicine 1759312150 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1125 S Beverly Dr
Suite 425
Los Angeles, CA 90035-1192
Phone (310) 274-7300

Hospital & facility affiliations

  • DaVita Tower Dialysis Dialysis facility, Los Angeles, CA, CCN 052643
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A29728CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Community Care Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Bernard Salick Nephrology PastSince Jun 1, 1973 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hrodriguez103607@direct.cshs.org

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1770554669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR STE 425",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351192",
            "telephone_number": "310-274-7300",
            "fax_number": "310-742-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR STE 425",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351192",
            "telephone_number": "310-274-7300",
            "fax_number": "310-274-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "HECTOR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A29728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A297280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.