Individual provider Active NPI

Elias Rodriguez Jr., MEDICAL DOCTOR

  • Child & Adolescent Psychiatry Physician
  • Downey, CA
National Provider Identifier
1972684744
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A066783 Issued in CA
Practice address
7285 Quill Dr
Downey, CA 90242-2001
Phone
(562) 940-6077
Fax
(562) 803-0637
NPI assigned
Oct 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Child & Adolescent Psychiatry Physician 2084P0804X A066783 CA Primary

Addresses

Primary practice location

7285 Quill Dr
Downey, CA 90242-2001

Mailing address

PO Box 2331
Downey, CA 90242-0331
Phone (562) 940-6077

Other names 1

  • Dr. Elias Rodriguez Other name

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
I20040202001232 CA Practitioner - Psychiatry 5799678033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alma Family ServicesGroup PAC ID 8729114855, 6 clinicians

Practice addresses (Care Compare)

9101 Whittier Blvd
Pico Rivera, CA 90660-2405
Phone (562) 801-4626

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A066783CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alma Family Services CurrentSince Jan 19, 2010 Accepting new patients

Locations

4701 E Cesar E Chavez Ave
Los Angeles, CA 90022
Phone (323) 267-3400

900 Corporate Center Dr
Ste 350
Monterey Park, CA 91754

9101 Whittier Blvd
Pico Rivera, CA 90660
Phone (562) 801-4626

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972684744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2331",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902420331",
            "telephone_number": "562-940-6077",
            "fax_number": "562-803-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7285 QUILL DR",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422001",
            "telephone_number": "562-940-6077",
            "fax_number": "562-803-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ELIAS",
        "name_suffix": "Jr.",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A066783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIAS",
            "last_name": "RODRIGUEZ",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.