LEONEL L RODRIGUEZ MD A MEDICAL CORPORATION
NPI 1033346994
Family Medicine in Blythe, CA

Active since June 18, 2009CLIA 05D0949010 · Waiver
205 N 1ST ST STE C, BLYTHE, CA 92225(760) 922-8330(760) 922-8320 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Leonel L Rodriguez Md A Medical Corporation NPPES

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

LEONEL L RODRIGUEZ MD A MEDICAL CORPORATION (NPI 1033346994) is a healthcare organization registered as a family medicine in Blythe, California and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Leonel Lamon Rodriguez, Physician, as its authorized official.

NPPES Registry Identity

NPI1033346994
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLEONEL L RODRIGUEZ MD A MEDICAL CORPORATION
Location Address205 N 1ST ST STE CBlythe, CA 92225-1777
Mailing Address205 N 1st St Ste CBlythe, CA 92225-1777 · (760) 922-8330 · Fax (760) 922-8320
Fax(760) 922-8320
Organization SubpartNo
Authorized OfficialLeonel Lamon RodriguezPhysician · (760) 922-8330
Enumeration DateJune 18, 2009
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1033346994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
205 N 1ST ST STE C, Blythe, CA 92225

Other Identifiers 1

Medicaid00A546001CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leonel L Rodriguez Md A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20090706000012Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Leonel L Rodriguez MD A Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1912098872
205 N 1ST ST STE C
Blythe, CA 92225
(760) 922-8330
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0949010

Leonel L Rodriguez MD · Blythe, CA
Active · expires Jul 22, 2028
CLIA Number05D0949010
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorLeonel L. Rodriguez
Laboratory Phone(760) 922-8330
Laboratory LocationLeonel L Rodriguez MD205 North First Street Ste C, Blythe, CA 92225
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Leonel L Rodriguez MD A Medical Corporation's NPI number?

The NPI number for Leonel L Rodriguez MD A Medical Corporation is 1033346994. It was assigned to this organization in the NPPES registry on June 18, 2009.

Where is Leonel L Rodriguez MD A Medical Corporation located?

Leonel L Rodriguez MD A Medical Corporation is located at 205 N 1st St Ste C, Blythe, CA 92225. The listed phone number is (760) 922-8330.

What is Leonel L Rodriguez MD A Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Leonel L Rodriguez MD A Medical Corporation enrolled in Medicare?

Yes. Leonel L Rodriguez MD A Medical Corporation is registered in the Medicare PECOS enrollment system.

When is Leonel L Rodriguez MD A Medical Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Leonel L Rodriguez MD A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Leonel L Rodriguez MD A Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Leonel L Rodriguez MD A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0949010) is associated with this NPI, valid through July 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Leonel L Rodriguez MD A Medical Corporation was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.