JOSE ALBERTO RODRIGUEZ (NPI# 1679848626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679848626 |
| Entity Type | Individual |
| Full Name | JOSE ALBERTO RODRIGUEZ |
| Credential | IDC |
| Practice Address |
33000 Nixie Way Bldg 50 Suite 245 San Diego CA 92147-5109 |
| Mailing Address |
1585 Bedford Ave Chula Vista CA 91913-3915 |
| Practice Telephone | 6195245137 |
| Mailing Telephone | 6199340582 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053365 | Jose Rodriguez | Chiropractor | 39 Jay St Apt 2, Newark, NJ 07103-3259 | 2020-08-12 |
| 1396356788 | Jose R Rodriguez | Phlebology | 330 W 9th St Ste 5, Hialeah, FL 33010-3865 | 2020-08-11 |
| 1003455429 | Jose Rodriguez | Community Health Worker | 6345 Perkins St, Detroit, MI 48210-2466 | 2020-01-02 |
| 1538710124 | Jose Rodriguez | Technician | 4023 Puffer Trce Apt 44d, Spring Hill, FL 34609-0521 | 2019-09-25 |
| 1851860043 | Jose Rodriguez | Community/Behavioral Health | 514 Atkinson Way, El Paso, TX 79915-2600 | 2018-11-16 |
| 1063920585 | Jose G Rodriguez | Counselor | 300 Urb. Hacienda Concordia, Santa Isabel, PR 00757 | 2018-01-18 |
| 1841706421 | Jose Luis Rodriguez | Massage Therapist | 177 Ave De Diego, San Juan, PR 00927-6310 | 2017-12-19 |
| 1942711072 | Jose Lorenzo Rodriguez | Non-emergency Medical Transport (VAN) | 1898 Nw 69th St, Miami, FL 33147-6914 | 2017-10-16 |
| 1598284820 | Jose Angel Rodriguez Jr. | Nurse Practitioner | Informe Healthcare In, LLC, 8800 Virginia Pl, Merrillville, IN 46410-7109 | 2017-09-19 |
| 1861921991 | Jose L Rodriguez | Psychologist | 1260 N Dutton Ave Ste 225, Santa Rosa, CA 95401-7156 | 2017-06-12 |
| Street Address |
33000 NIXIE WAY BLDG 50 SUITE 245 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92147-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811144546 | Nelson Jose Mejia | Military Health Care Provider | 33000 Nixie Way, Bldg.#50, Ste.#245, San Diego, CA 92147-5101 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467674150 | John Dudley Harris Jr. | Military Health Care Provider | 33000 Nixie Way Bldg 50, San Diego, CA 92147-5101 | 2007-05-03 |
| 1871563387 | Rebecca Marie Ortenzio | Dentist | 32389 Echo Ln, Building 10, San Diego, CA 92147-5196 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760210 | Vanessa Nunez | Nursing Home Administrator | 1697 Donax Ave, San Diego, CA 92154-1004 | 2020-11-08 |
| 1295336956 | Ryan Russo | Clinical Nurse Specialist | 2376 Soto St, San Diego, CA 92107-1410 | 2020-11-07 |
| 1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1316548456 | Paulo Conceicao | Massage Therapist | 6559 Comly St, San Diego, CA 92111-5401 | 2020-11-05 |
| 1346841541 | Guadalupe Ibarra Sanders | Registered Nurse | 9022 Flanders Dr, San Diego, CA 92126-2826 | 2020-11-04 |
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1265033583 | Mission Bay Hospice, Inc. | Hospice Care, Community Based | 10251 Vista Sorrento Pkwy Ste 280b, San Diego, CA 92121-3774 | 2020-11-03 |
| Find all providers in SAN DIEGO | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180648 | Darius Lee Sean Woods | Military Health Care Provider | 6033 Sandy Shore Ct, San Diego, CA 92139-1014 | 2020-10-05 |
| 1174130744 | Daniel Carrera | Military Health Care Provider | 2645 W Canyon Ave Apt 450, San Diego, CA 92123-4700 | 2020-09-28 |
| 1316551740 | Kyle Bode Francis | Military Health Care Provider | 3149 Murray Ridge Rd, San Diego, CA 92123-2917 | 2020-09-02 |
| 1255945069 | Jeremy Lee | Military Health Care Provider | 509 Dennery Rd Apt 145, San Diego, CA 92154-8542 | 2020-08-31 |
| 1013520667 | Rashaad Brown | Military Health Care Provider | 4454 Cherokee Ave Apt 2, San Diego, CA 92116-3611 | 2020-08-24 |
| 1932711934 | Alvaro Daniel Macias | Military Health Care Provider | 8685 Rio San Diego Dr Apt 4344, San Diego, CA 92108-6560 | 2020-08-20 |
| 1689286189 | Charles Luke Morris | Military Health Care Provider | 1675 Beta Ct, San Diego, CA 92126-7060 | 2020-08-18 |
| 1255943635 | Stephon Peyton Frost | Military Health Care Provider | 2654 Mendonca Dr, San Diego, CA 92110-4263 | 2020-08-18 |
| 1184235871 | Jaden Sandi | Military Health Care Provider | Swmi Sfidc Bldg 14 34101 Farenholt Ave, San Diego, CA 92134-0001 | 2020-08-14 |
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.