Individual provider Active NPI

Michael Anthony Rodriguez, MD

  • Family Medicine Physician
  • Panorama City, CA
National Provider Identifier
1891712436
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G68505 Issued in CA
Practice address
7515 Van Nuys Blvd
Midvalley Health Center
Panorama City, CA 91405-1949
Phone
(818) 947-4095
Fax
(818) 947-4027
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G68505 CA Primary

Addresses

Primary practice location

7515 Van Nuys Blvd
Midvalley Health Center
Panorama City, CA 91405-1949

Mailing address

10880 Wilshire Blvd Ste 1800
UCLA Dept of Family Medicine - Oppenheimer Tower
Los Angeles, CA 90024-4142
Phone (310) 794-0394

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
I20051108000507 CA Practitioner - Family Practice 3072531029 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Alliance for Community Wellness CurrentSince Nov 17, 2025 Accepting new patients
La Clinica de la Raza Inc Current Accepting new patients

Locations

24301 Southland Dr
Ste 300
Hayward, CA 94545
Phone (510) 300-3574

3451 E 12th St
Oakland, CA 94601
Phone (510) 535-3319

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891712436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10880 WILSHIRE BLVD STE 1800",
            "address_2": "UCLA DEPT OF FAMILY MEDICINE - OPPENHEIMER TOWER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244142",
            "telephone_number": "310-794-0394",
            "fax_number": "310-794-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 VAN NUYS BLVD",
            "address_2": "MIDVALLEY HEALTH CENTER",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914051949",
            "telephone_number": "818-947-4095",
            "fax_number": "818-947-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G68505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.