Active NPI
Nydia E Rodriguez
- Social Worker
- Fresno, CA
National Provider Identifier
1851421168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 97930
- Practice address
- 4205 W Figarden Dr
Fresno, CA 93722-6051 - Phone
- (559) 221-1680
- Fax
- (559) 221-4336
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | |||
| Social Worker | 104100000X | 97930 | CA | Primary |
Addresses
Primary practice location
4205 W Figarden Dr
Fresno, CA 93722-6051
Mailing address
4205 W Figarden Dr
Fresno, CA 93722-6051
Phone (559) 221-1680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97930 | CA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JDT Consultants, Inc. | Current | Accepting new patients | |
| JDT Consultants Inc | Current | Accepting new patients |
Locations
4205 W Figarden Dr
Fresno, CA 93722
Phone (559) 221-1980
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Seaside, CA
- NPI 1164745329
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1659532612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1851421168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 W FIGARDEN DR",
"city": "FRESNO",
"state": "CA",
"postal_code": "937226051",
"telephone_number": "559-221-1680",
"fax_number": "559-221-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 W FIGARDEN DR",
"city": "FRESNO",
"state": "CA",
"postal_code": "937226051",
"telephone_number": "559-221-1680",
"fax_number": "559-221-4336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "NYDIA",
"middle_name": "E",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "97930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.