Individual provider Active NPI

Rodolfo Rey, MD

  • Obstetrics & Gynecology Physician
  • Riverside, CA
National Provider Identifier
1891062998
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MT 200595 Issued in PA
Practice address
9939 Magnolia Ave
Riverside, CA 92503-3528
Phone
(951) 354-2229
Fax
(951) 687-1154
NPI assigned
Nov 17, 2011
Last updated
May 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MT 200595 PA Primary

Addresses

Primary practice location

9939 Magnolia Ave
Riverside, CA 92503-3528

Mailing address

9939 Magnolia Ave
Riverside, CA 92503-3528
Phone (951) 354-3216

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
I20140409001031 CA Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 0042442816 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, San Diego School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

9939 Magnolia Ave
Riverside, CA 92503-3528
Phone (951) 354-2229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127855CAMDMarriage & Family Therapist
MT 200595PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Group, Inc. Obstetrics & Gynecology CurrentSince Dec 5, 2020 Accepting new patients
Dr. Javier Rios, a Medical Corporation CurrentSince Dec 29, 2013 Accepting new patients
Dr. Javier Rios, a Medical Corporation Obstetrics & Gynecology Current Accepting new patients
Inland Empire Multispecialty Group PC Obstetrics & Gynecology Current Accepting new patients
Dr. Javier Rios, a Medical Corporation CurrentSince Dec 29, 2013 Accepting new patients
Inland Empire Multispecialty Group PC Obstetrics & Gynecology CurrentSince Apr 1, 2022 Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients

Locations

1530 W 6th St
Ste 109
Corona, CA 92882
Phone (951) 279-2171

495 E Rincon St
Ste 208
Corona, CA 92879

495 E Rincon St
Ste 215
Corona, CA 92879

1530 W 6th St
Corona, CA 92882

141 N Main St
Lake Elsinore, CA 92530
Phone (951) 245-5003

File 50978
Los Angeles, CA 90074

13925 Indian St
Moreno Valley, CA 92553
Phone (213) 537-2927

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

21091 Rider St
Ste 218
Perris, CA 92570
Phone (951) 354-2229

6926 Brockton Ave
Ste 7
Riverside, CA 92506
Phone (951) 354-2229

4022 Chicago Ave
Riverside, CA 92507
Phone (951) 354-2229

9939 Magnolia Ave
Riverside, CA 92503
Phone (951) 687-8802

6926 Brockton Ave
Ste 4
Riverside, CA 92506
Phone (844) 400-2236

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1891062998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9939 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033528",
            "telephone_number": "951-354-3216",
            "fax_number": "951-848-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9939 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033528",
            "telephone_number": "951-354-2229",
            "fax_number": "951-687-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REY",
        "first_name": "RODOLFO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-17",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT 200595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.