JOHN RODGERS
NPI 1053013862
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is John Rodgers's NPI number?

The NPI number for John Rodgers is 1053013862. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Q: What is John Rodgers's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for John Rodgers was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since March 17, 2023PECOS Enrolled

1200 N STATE ST STE A7D, LOS ANGELES, CA 90089(323) 409-7556 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2026, Mar 17, 2023 (2 updates tracked since 2023).

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About John Rodgers NPPES

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

JOHN RODGERS (NPI 1053013862) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1053013862

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJOHN RODGERS

Location Address1200 N STATE ST STE A7DLos Angeles, CA 90089-1001

Mailing Address10945 Le Conte Ave Ste 2339Los Angeles, CA 90095-3000

Phone(323) 409-7556

Sole ProprietorNo

Enumeration DateMarch 17, 2023

Last NPPES UpdateJune 10, 20262 updates tracked since enumeration

NPPES CertifiedJune 10, 2026

✔ NPI 1053013862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1200 N STATE ST STE A7D, Los Angeles, CA 90089

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Secondary Practice Location 1

Location 110945 Le Conte Ave Ste 2339Los Angeles, CA 90095-1687 · Phone (424) 442-4080 ext. 24080

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Rodgers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

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