MRS. MARIE YVONNE RODRIGUEZ RCP, NPI 1013431782 — LOS ANGELES (CA)

NPI 1013431782

3+ Years Experience Individual

MRS. MARIE YVONNE RODRIGUEZ RCP

08.03.2017
PROVIDER ENUMERATION DATE
08.03.2017
LAST UPDATE DATE
1013431782
NPI NUMBER

About MRS. MARIE YVONNE RODRIGUEZ

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

MRS. MARIE YVONNE RODRIGUEZ is a provider established in LOS ANGELES, CA. The NPI number of MRS. MARIE YVONNE RODRIGUEZ is 1013431782 and was assigned on 08.03.2017. The practitioners primary taxonomy code is: 2278P3900X with license number: 11292 CA .

Mailing address

  • City: LOS ANGELES
  • State: CA
  • Postal code: 900331029
  • Phone: 3234093721
  • Address: 1200 N STATE ST

Primary Practice Address

  • Region : LOS ANGELES, CA
  • NPI : 1013431782
  • Phone : (323) 409-3721
  • Postalcode : 900331029
  • Address : 1200 N STATE ST

Provider taxonomy - Respiratory Therapist, Certified

  • Taxonomy code: 2278P3900X
  • License number: 11292
  • License state: CA

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: The care and treatment of premature infants, newborns and children. This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments.

Contacts:

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  • MRS. MARIE YVONNE RODRIGUEZ RCP
  • Address : 1200 N STATE ST
  • Region : LOS ANGELES, CA
  • NPI : 1013431782
  • Phone : (323) 409-3721
  • Postalcode : 900331029

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1200 N STATE ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameLOS ANGELES
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameCA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code900331029
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number(323) 409-3721
The telephone number associated with the location address of the provider being identified.
NPI1013431782
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 12278P3900X
The care and treatment of premature infants, newborns and children. This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments.
Provider Enumeration Date08.03.2017
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated08.03.2017
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MRS. MARIE YVONNE RODRIGUEZ
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address1200 N STATE ST
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameLOS ANGELES
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameCA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code900331029
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number3234093721
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #12278P3900X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Respiratory Therapist, Certified
The care and treatment of premature infants, newborns and children. This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments.
Provider License Number 111292
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1CA
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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