NPIMap

Individual provider Active NPI

Rodrigo J Rocha, M.D.

  • Nephrology Physician
  • Lynwood, CA
National Provider Identifier
1801847157
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G76036 Issued in CA
Practice address
3625 Martin Luther King Jr Blvd
Suite #2
Lynwood, CA 90262-3509
Phone
(310) 638-0533
Fax
(310) 638-9171
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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 G76036 CA Primary

Addresses

Primary practice location

3625 Martin Luther King Jr Blvd
Suite #2
Lynwood, CA 90262-3509

Mailing address

3625 Martin Luther King Jr Blvd
Suite #2
Lynwood, CA 90262-3509
Phone (310) 638-0533

Other identifiers 1

IdentifierTypeStateIssuer
GR0067120MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120430000615 CA Practitioner - NephrologyPractitioner - Internal Medicine 2264512599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Medical AssociatesGroup PAC ID 6305812066, 3 clinicians

Practice addresses (Care Compare)

3625 Martin Luther King Jr Blvd
Suite 2
Lynwood, CA 90262-3509
Phone (310) 638-0533

Hospital & facility affiliations

  • DaVita Premier Dialysis Center Dialysis facility, Cudahy, CA, CCN 052761
  • DaVita Imperial Care Dialysis Center Dialysis facility, Lynwood, CA, CCN 052844
  • FMC Dialysis Services Bellflower Dialysis facility, Bellflower, CA, CCN 052880
  • DaVita Paramount Dialysis Center Dialysis facility, Paramount, CA, CCN 052652
  • DaVita United Dialysis Center Dialysis facility, Long Beach, CA, CCN 052671
  • Saint Francis Medical Center Hospital, Lynwood, CA, CCN 050104
  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393
  • Coast Plaza Hospital Hospital, Norwalk, CA, CCN 050771

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76036CAMDPharmacist
G76036CAMDNephrology Physician

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Long Beach Memorial Medical Past Accepting new patients
St Francis Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
University of California Irvine Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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 9

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1801847157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE #2",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623509",
            "telephone_number": "310-638-0533",
            "fax_number": "310-638-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE #2",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623509",
            "telephone_number": "310-638-0533",
            "fax_number": "310-638-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "RODRIGO",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G76036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0067120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.