Active NPI
Sara Xiomara Rodriguez, PA-C
- Physician Assistant
- Camp Pendleton, CA
National Provider Identifier
1881248292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9558
- Practice address
- Naval Hospital Camp Pendleton
200 Mercy CT
Camp Pendleton, CA 92055 - Phone
- (760) 725-1288
- NPI assigned
- Jul 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1161725 | GA | |
| Physician Assistant | 363A00000X | 9558 | GA | Primary |
Addresses
Primary practice location
Naval Hospital Camp Pendleton
200 Mercy CT
Camp Pendleton, CA 92055
Mailing address
Naval Hospital Camp Pendleton
200 Mercy CT
Camp Pendleton, CA 92055
Phone (607) 725-1288
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 |
|---|---|---|---|
| 1161725 | GA | MD | Family Medicine Physician |
| 9558 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1881248292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL CAMP PENDLETON",
"address_2": "200 MERCY CT",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "92055",
"telephone_number": "607-725-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL CAMP PENDLETON",
"address_2": "200 MERCY CT",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "92055",
"telephone_number": "760-725-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "SARA",
"middle_name": "XIOMARA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-25",
"last_updated": "2025-03-05",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "GA",
"license": "1161725",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "9558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Pendleton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.