Individual provider Active NPI

Rodney Isaac

  • Student in an Organized Health Care Education/Training Program
  • San Diego, CA
National Provider Identifier
1922166982
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
446 Alta Rd
San Diego, CA 92158-0001
Phone
(619) 671-6589
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychologist 103T00000X
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X CA Primary

Addresses

Primary practice location

446 Alta Rd
San Diego, CA 92158-0001

Mailing address

446 Alta Rd
San Diego, CA 92158-3040
Phone (619) 671-6589

Other practice location 1

10201 Mission Gorge Rd Ste O
Santee, CA 92071
Phone (619) 383-6868 ext. 504

Other practice location 2

286 Euclid Ave Ste 102
San Diego, CA 92114-3611
Phone (619) 266-2111 ext. 124

Other names 1

  • Dr. Rodney Isaac Professional name

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1922166982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 ALTA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921583040",
            "telephone_number": "619-671-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 ALTA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921580001",
            "telephone_number": "619-671-6589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10201 Mission Gorge Rd Ste O",
            "address_purpose": "LOCATION",
            "city": "Santee",
            "state": "CA",
            "postal_code": "92071",
            "country_code": "US",
            "telephone_number": "619-383-6868 x504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "286 Euclid Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921143611",
            "country_code": "US",
            "telephone_number": "619-266-2111 x124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "RODNEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RODNEY",
            "last_name": "ISAAC",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Aug 23, 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.

Verify at the official NPI Registry.