Javier Rodriguez in Santa Ana - Physician Assistant
Javier Rodriguez - NPI 1174729040
Javier Rodriguez is a Physician Assistant in Santa Ana, California. Javier Rodriguez practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Javier Rodriguez is 1174729040. The last update date is 2011-11-30.
Javier Rodriguez's current location address is 1617 E 1st St Ste A, Santa Ana, California. You can contact this provider via phone number 7142460000. The mailing address for Javier Rodriguez is 1617 E 1st St Ste A, Santa Ana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Javier Rodriguez |
|---|---|
| Address | 1617 E 1st St Ste A, Santa Ana, California |
| Phone Number | 7142460000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1174729040 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2011-11-30 |
Provider Mailing Address Detail
| Address | 1617 E 1st St Ste A |
|---|---|
| City | Santa Ana |
| State | California (CA) |
| Post Code | 927016385 |
| Phone Number | 7142460000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA 19041 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1174729040 | CA | -- | |
| 1538367115 | CA | CLINIC NPI # |
Post Comment/ Review Below
What is the Javier Rodriguez's unique identification number?
The Javier Rodriguez has been assigned the NPI (National Provider Identifier) Number 1174729040 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Javier Rodriguez is geographically located?
The Javier Rodriguez is physically situated at the following location: 1617 E 1St St Ste A, Santa Ana, CA, 927016385.
What is Javier Rodriguez's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Javier Rodriguez is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did Javier Rodriguez receive its 1174729040 assignment from the Centers for Medicare & Medicaid Services?
The Javier Rodriguez was assigned its 1174729040 on 2007-06-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Javier Rodriguez most recently updated?
The details pertaining to the Javier Rodriguez, including its address, specialty, and other relevant information, were last refreshed on 2011-11-30.