NINA RODRIGUEZ M.D.
NPI 1104094176
Student in an Organized Health Care Education/Training Program in Loma Linda, CA
About Nina Rodriguez M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NINA RODRIGUEZ M.D. (NPI 1104094176) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nina Rodriguez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nina Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fontana, CA 92335
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Nina Rodriguez's NPI number?
The NPI number for Nina Rodriguez is 1104094176. It was assigned to this individual provider in the NPPES registry on February 13, 2008.
Where is Nina Rodriguez located?
Nina Rodriguez practices at 11234 Anderson St Llumc, House Staff Office Cp 21005, Loma Linda, CA 92354. The listed phone number is (909) 558-4000.
What is Nina Rodriguez's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nina Rodriguez enrolled in Medicare?
Yes. Nina Rodriguez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nina Rodriguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nina Rodriguez reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, CA). The 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 Nina Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nina Rodriguez was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nina Rodriguez, M.D. · NPI 1104094176
Student in an Organized Health Care Education/Training Program provider in Loma Linda, California. Individual provider, active in the CMS NPPES registry since February 13, 2008.
## Identity
- **NPI:** 1104094176 (Entity type: Individual)
- **Enumerated:** February 13, 2008
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, LLUMC, HOUSE STAFF OFFICE CP 21005, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1689606196, Fontana, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104094176) · Data from the CMS NPPES public registry.