ISIDRO RODRIGUEZ JR. (NPI# 1972789626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972789626 |
| Entity Type | Individual |
| Full Name | ISIDRO RODRIGUEZ JR. |
| Practice Address |
460 E Carson Plaza Dr Suite 106 Carson CA 90746-3228 |
| Mailing Address |
1342 Ronan Ave Wilmington CA 90744-2529 |
| Practice Telephone | 3105326030 |
| Practice Fax Number | 3105328441 |
| Mailing Telephone | 5628967543 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2012-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
460 E CARSON PLAZA DR SUITE 106 |
| City | CARSON |
| State | CA |
| Zip Code | 90746-3228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962485763 | U. Ete Medical Distributors, Inc | Durable Medical Equipment & Medical Supplies | 460 E Carson Plaza Dr, Suite #119, Carson, CA 90746-3228 | 2005-11-25 |
| 1144751579 | Carlos Fabricio Benavides | Counselor | 460 E Carson Plaza Dr, Suite 102, Carson, CA 90746-3228 | 2017-03-27 |
| 1811435910 | Co-padres Psychotherapeutic Sercices | Marriage & Family Therapist | 460 E Carson Plaza Dr, 215, Carson, CA 90746-3228 | 2017-02-08 |
| 1033582952 | Sage Medical Management | Family Medicine | 460 E Carson Plaza Dr, #114, Carson, CA 90746-3228 | 2015-11-02 |
| 1225393242 | Chanta S Rush | Counselor | 460 E Carson Plaza Dr, Suite 106, Carson, CA 90746-3228 | 2012-07-05 |
| 1720352446 | Luisa Guadalupe Lopez | Counselor | 460 E Carson Plaza Dr, Suite 122, Carson, CA 90746-3228 | 2012-02-27 |
| 1952633661 | Charles Daniel Bush Jr. | Counselor | 460 E Carson Plaza Dr, Suite 122, Carson, CA 90746-3278 | 2010-02-04 |
| 1043416688 | Yvonne Montes | Counselor | 460 E Carson Plaza Dr, Suite 120, Carson, CA 90746-3228 | 2007-06-21 |
| 1588787253 | Ladan Alamdar | Marriage & Family Therapist | 460 E Carson Plaza Dr, Carson, CA 90746-3228 | 2007-04-09 |
| 1548382211 | Veda Rochelle Flynn | Marriage & Family Therapist | 460 E Carson Plaza Dr, Suite 102, Carson, CA 90746-3228 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174172837 | Darren Nakano Chiropractic, Professional Corporation | Chiropractor | 460 East Carson Plaza Drive, Suite 116, Carson, CA 90746 | 2019-09-05 |
| 1205370079 | Natalie Bland | Nurse Practitioner | 454 E. Carson Plaza Drive Suite 211, Carson, CA 90746 | 2016-12-13 |
| 1891146767 | Francis O Okpan | Nurse Practitioner | 17546 Buttonwood Ln, Carson, CA 90746 | 2016-06-22 |
| 1689049371 | Fresenius Medical Care Long Beach, LLC | Clinic/Center | 20710 Leapwood Ave Ste E, Carson, CA 90746 | 2015-12-07 |
| 1447649108 | Brandi Glenn | Occupational Therapist | 17811 Hazelwood Court, Carson, CA 90746 | 2015-01-20 |
| 1700226263 | Allen Berger | Counselor | 460 Est. Carson Plaza Dr. #119, Carson, CA 90746 | 2013-06-28 |
| 1902147036 | Basen Inc | Counselor | 460 Carson Plaza Drive, Ste 106, Carson, CA 90746 | 2013-03-14 |
| 1811238298 | Basen Inc | Counselor | 460 E Carsin Plaza Dr, #106, Carson, CA 90746 | 2013-03-08 |
| 1871858084 | Joseph H. Rodd M.d. Inc | Psychiatry & Neurology | 20710 S. Leapwood Ave., Suite B, Carson, CA 90746 | 2012-07-13 |
| 1467718601 | Laquesha Shonte Robinson | Counselor | 460 E. Carson Plaza Drive, Suite 200, Carson, CA 90746 | 2012-04-02 |
| Find all providers in zip 90746 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467902064 | Johnny Perkins | Counselor | 18703 Mettler Ave, Carson, CA 90746-2150 | 2016-10-06 |
| 1023440591 | Ryan Joshua Bentick | Counselor | 21828 S. Avalon Blvd, Carson, CA 90745-3303 | 2013-08-06 |
| 1902147036 | Basen Inc | Counselor | 460 Carson Plaza Drive, Ste 106, Carson, CA 90746 | 2013-03-14 |
| 1811238298 | Basen Inc | Counselor | 460 E Carsin Plaza Dr, #106, Carson, CA 90746 | 2013-03-08 |
| 1124371158 | Edwyn Onglay Hector | Counselor | 22519 Kinard Ave, Carson, CA 90745-3725 | 2012-10-15 |
| 1659698421 | Mayra Alexandra Giron | Counselor | 17701 Avalon Blvd, #300, Carson, CA 90746-1554 | 2010-05-03 |
| 1356667315 | Beverly Webb | Counselor | 434 W 223rd St, 105, Carson, CA 90745-3656 | 2010-04-15 |
| 1669709895 | Bassey Bassey Enun-abara | Counselor | 460 E Carson Plaza Dr Ste 119, Carson, CA 90746-3218 | 2009-11-09 |
| 1497906358 | Shana Powe | Counselor | 16316 Haskins Ln, Carson, CA 90746-1024 | 2008-10-08 |
| 1255580676 | Marcia Deeshai Zuric | Counselor | 637 E Albertoni St Ste 200, Carson, CA 90746-1543 | 2008-09-10 |
| Find all providers in CARSON | ||||
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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.