Individual provider Active NPI

Elvia Del Carmen Rodriguez, M.D.

  • Family Medicine Physician
  • Whittier, CA
National Provider Identifier
1992742738
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G79728 Issued in CA
Practice address
14609 Whittier Blvd
Whittier, CA 90605-1723
Phone
(562) 789-9592
Fax
(562) 789-6102
NPI assigned
Jun 1, 2006
Last updated
Oct 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G79728 CA Primary

Addresses

Primary practice location

14609 Whittier Blvd
Whittier, CA 90605-1723

Mailing address

14609 Whittier Blvd
Whittier, CA 90605-1723
Phone (562) 789-9592

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
I20110316000076 CA Practitioner - Family Practice 2264502624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Irvine, California College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Los AngelesGroup PAC ID 1850296534, 395 clinicians

Practice addresses (Care Compare)

10005 Flower St
Bellflower, CA 90706-5412
Phone (562) 753-2315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G79728CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Aug 1, 2023 Accepting new patients
Jose Aceves MD a Professional Corp Family Medicine CurrentSince Oct 20, 2019 Accepting new patients
County of Los Angeles CurrentSince Aug 1, 2023 Accepting new patients
County of Los Angeles Current Accepting new patients
Pih Health Physicians Family Medicine PastSince Oct 20, 2019 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

10005 Flower St
Bellflower, CA 90706
Phone (310) 518-8803

1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244

14609 Whittier Blvd
Whittier, CA 90605
Phone (562) 270-2198

Organizations & group practices 5

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1992742738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14609 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051723",
            "telephone_number": "562-789-9592",
            "fax_number": "562-789-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14609 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051723",
            "telephone_number": "562-789-9592",
            "fax_number": "562-789-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ELVIA",
        "middle_name": "DEL CARMEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G79728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.