Active NPI
Luis Rodriguez
- Community Health Worker
- Mission Viejo, CA
National Provider Identifier
1912536772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 25402 Pacifica Ave
Mission Viejo, CA 92691-3854 - Phone
- (949) 238-2400
- NPI assigned
- Apr 3, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
25402 Pacifica Ave
Mission Viejo, CA 92691-3854
Mailing address
826 Joann St
Costa Mesa, CA 92627-3321
Phone (714) 310-4377
Other practice location 1
826 Joann St
Costa Mesa, CA 92627-3321
Phone (714) 310-4377
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Behavior Consultants | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Costa Mesa, CA
- NPI 1356822787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1912536772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 JOANN ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273321",
"telephone_number": "714-310-4377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25402 PACIFICA AVE",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926913854",
"telephone_number": "949-238-2400"
}
],
"practiceLocations": [
{
"address_1": "826 Joann St",
"address_purpose": "LOCATION",
"city": "Costa Mesa",
"state": "CA",
"postal_code": "926273321",
"country_code": "US",
"telephone_number": "714-310-4377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-03",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.