Active NPI
Monica Rodriguez, APRN NP-C, PHN, RN
- Family Nurse Practitioner
- Shafter, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95018557
- Practice address
- 565 Kern St
Shafter, CA 93263-2133 - Phone
- (661) 746-4937
- NPI assigned
- Nov 19, 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 672219 | CA | |
| Physical Therapy Assistant | 225200000X | AT 4902 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95018557 | CA | Primary |
Addresses
Primary practice location
565 Kern St
Shafter, CA 93263-2133
Mailing address
11509 Garrick CT
Bakersfield, CA 93311-9218
Phone (661) 586-0455
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
845 7TH St
Wasco, CA 93280-1919
Phone (661) 459-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 672219 | CA | MD | Community Health Registered Nurse |
| AT 4902 | CA | MD | Physical Therapy Assistant |
| 95018557 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanguard Medical Corporation | Current | Accepting new patients | |
| Vanguard Medical Corporation | Current | Accepting new patients | |
| Vanguard Medical Corporation | Current | Accepting new patients | |
| Vanguard Medical Corporation | Past | Accepting new patients | |
| Jae J. Kim, M.D. | Past | Accepting new patients |
Locations
8150 Hageman Rd
Bakersfield, CA 93312
Phone (661) 459-1010
565 Kern St
Shafter, CA 93263
Phone (661) 746-4937
845 7th St
Wasco, CA 93280
Phone (661) 459-1000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Shafter Rural Healthcare Clinic
- Rural Health Clinic/Center
- Shafter, CA
- NPI 1609281310
-
- Rural Health Clinic/Center
- Wasco, CA
- NPI 1164270807
-
- Rural Health Clinic/Center
- Wasco, CA
- NPI 1558801829
-
dba Shafter Rural Health Care Clinic
- Primary Care Clinic/Center
- Shafter, CA
- NPI 1073796843
-
- Primary Care Clinic/Center
- Bakersfield, CA
- NPI 1932749108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634428800000",
"number": "1881875805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11509 GARRICK CT",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933119218",
"telephone_number": "661-586-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 KERN ST",
"city": "SHAFTER",
"state": "CA",
"postal_code": "932632133",
"telephone_number": "661-746-4937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MONICA",
"name_prefix": "Mrs.",
"credential": "APRN NP-C, PHN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-19",
"last_updated": "2021-10-17",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "672219",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT 4902",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95018557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shafter, CA
- Reedley Community Hospital (Adventist Health Reedley - Shafter)
- Guadalupe Reyes-Garcia, LCSW
- Richland Union Elementary School District
- Iliana Rivera, NP
- Robert W. Hagen M.D. Inc.
- Sonia Yolanda Rodriguez, M.S., PPS
- Laurie Ann Roth, RN
- Ruby Dacio DDS Andlutgarda Perez DDS Dental Corp
- Jennifer Sanchez Maye, RN
- Alberto Sanchez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.