Active NPI
Thao Thanh Nguyen Rodriguez, APRN
- Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95011546
- Practice address
- 300 UCLA Medical PLZ Ste B200
Los Angeles, CA 90095-1106 - Phone
- (310) 794-1195
- NPI assigned
- Dec 18, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 6764 | CT | |
| Nurse Practitioner | 363L00000X | 95011546 | CA | Primary |
Addresses
Primary practice location
300 UCLA Medical PLZ Ste B200
Los Angeles, CA 90095-1106
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707
Other practice location 1
874 Howard Ave
Basement - Room 007
New Haven, CT 06519-1106
Phone (203) 688-8200
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922463835 | Medicaid | CT | |
| AA533035 | Other | CT | HARVARD PILGRIM |
| 1922463835 | Other | CT | ANTHEM |
| 3093495 | Other | CT | CIGNA |
| 4841947 | Other | CT | AETNA |
| 1922463835 | Other | CT | MULTIPLAN |
Other names 1
- Thao Nguyen
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Thao.Rodriguez@med.usc.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Johns Hopkins University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Medical PLZ
Suite 425
Los Angeles, CA 90095-0001
Phone (310) 794-1500
150 Medical PLZ
Los Angeles, CA 90095-0001
Phone (310) 825-9989
200 UCLA Medical PLZ
Suite 120
Los Angeles, CA 90095-0001
Phone (310) 206-6931
300 Medical Plaza
B200
Los Angeles, CA 90095-0001
Phone (310) 794-1195
300 Medical PLZ
Los Angeles, CA 90095-0001
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.73 of 100
- Quality
- 86.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95011546 | CA | MD | Nurse Practitioner |
| 6764 | CT | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Current | Accepting new patients | |
| The Regents of the University of California | Current | Accepting new patients | |
| Northeast Medical Group, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Yale New Haven Hospital | Past | Accepting new patients |
Locations
300 Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 794-1459
File 2939
Los Angeles, CA 90074
Phone (310) 794-6596
300 UCLA Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 825-4989
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
874 Howard Ave
Bsmt
New Haven, CT 06519
Phone (203) 688-8200
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- trodriguez988785@direct.uclahealth.org
- thao.rodriguez@med.usc.edu
Organizations & group practices 4
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.
-
dba UCLA Neurology Group Practice
- Neurology Physician
- Los Angeles, CA
- NPI 1437117074
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Nurse Practitioner
-
dba UCLA Neurology Group Practice
- Land Ambulance
- Los Angeles, CA
- NPI 1962219410
-
- Psychiatric Hospital Unit
- New Haven, CT
- NPI 1427100957
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Santa MonicaUCLAMC and Orthopedic Hospital
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
dba Ronald Reagan UCLA Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1922463835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-301-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 UCLA MEDICAL PLZ STE B200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900951106",
"telephone_number": "310-794-1195"
}
],
"practiceLocations": [
{
"address_1": "874 Howard Ave",
"address_2": "Basement - Room 007",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065191106",
"country_code": "US",
"telephone_number": "203-688-8200",
"fax_number": "203-688-8204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "THAO",
"middle_name": "THANH NGUYEN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-18",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CT",
"license": "6764",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95011546",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922463835",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA533035",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "1922463835",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3093495",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4841947",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "1922463835",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Thao.Rodriguez@med.usc.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1441 Eastlake Ave # G419",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900891019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "THAO",
"last_name": "NGUYEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.