Active NPI
James Manuel Rodriguez, DDS
- Dentist
- San Diego, CA
National Provider Identifier
1891948519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30484
- Practice address
- 11120 E Ocean Air Dr
B105
San Diego, CA 92130-4683 - Phone
- (858) 792-7823
- Fax
- (858) 792-7865
- NPI assigned
- Oct 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30484 | CA | Primary |
Addresses
Primary practice location
11120 E Ocean Air Dr
B105
San Diego, CA 92130-4683
Mailing address
11120 E Ocean Air Dr
B105
San Diego, CA 92130-4683
Phone (858) 792-7823
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224892800000",
"number": "1891948519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11120 E OCEAN AIR DR",
"address_2": "B105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921304683",
"telephone_number": "858-792-7823",
"fax_number": "858-792-7865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11120 E OCEAN AIR DR",
"address_2": "B105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921304683",
"telephone_number": "858-792-7823",
"fax_number": "858-792-7865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JAMES",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-25",
"last_updated": "2008-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "30484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.