EDWARD SEAN RODRIGUEZ I.D.M.T
NPI 1003043761
Military Health Care Provider - Independent Duty Medical Technicians in Travis Afb, CA

Active since June 19, 2009
101 BODIN CIR, TRAVIS AFB, CA 94535(707) 423-5478 Get Directions Write a Review

NPPES record last updated: June 19, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edward Sean Rodriguez I.d.m.t NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD SEAN RODRIGUEZ I.D.M.T (NPI 1003043761) is an individual independent duty medical technicians provider in Travis Afb, California and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1003043761
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameEDWARD SEAN RODRIGUEZCredential: I.D.M.T
Location Address101 BODIN CIRTravis Afb, CA 94535-1809
Mailing Address5029 Rowe DrFairfield, CA 94533-6591 · (707) 631-5512
Sole ProprietorYes
Enumeration DateJune 19, 2009
NPI 1003043761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

101 BODIN CIR, Travis Afb, CA 94535

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
101 BODIN CIR
TRAVIS AFB, CA 94535
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 BODIN CIR
TRAVIS AFB, CA 94535
Surgery (Vascular Surgery)
101 BODIN CIR
FAIRFIELD, CA 94535
Pharmacist
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Student in an Organized Health Care Education/Training Program
101 BODIN CIR
FAIRFIELD, CA 94535
Pathology (Anatomic Pathology & Clinical Pathology)
101 BODIN CIR
TRAVIS AFB, CA 94535
Student in an Organized Health Care Education/Training Program
101 BODIN CIR
TRAVIS AFB, CA 94535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Rodriguez's NPI number?

The NPI number for Edward Rodriguez is 1003043761. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Where is Edward Rodriguez located?

Edward Rodriguez practices at 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 423-5478.

What is Edward Rodriguez's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Edward Rodriguez was last updated on June 19, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.