DR. RODOLFO BAGUINGUITO PROTACIO M.D.
NPI 1154320836
Internal Medicine in Glendale, CA

Q: What is Rodolfo Protacio's NPI number?

The NPI number for Rodolfo Protacio is 1154320836. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Q: What is Rodolfo Protacio's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Rodolfo Protacio was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 15, 2005PECOS EnrolledAccepts Medicare Assignment

710 S CENTRAL AVE STE 330, GLENDALE, CA 91204(818) 500-8739(818) 500-0957 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2025, Apr 7, 2020 (2 updates tracked since 2020).

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About Dr. Rodolfo Baguinguito Protacio M.d. NPPES

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

DR. RODOLFO BAGUINGUITO PROTACIO M.D. (NPI 1154320836) is an individual internal medicine provider in Glendale, California, licensed in California (A49837) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1154320836

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. RODOLFO BAGUINGUITO PROTACIOCredential: M.D.

Location Address710 S CENTRAL AVE STE 330Glendale, CA 91204-4647

Mailing Address710 S Central Ave Ste 330Glendale, CA 91204-4647 · (818) 500-8739 · Fax (818) 500-0957

Phone(818) 500-8739

Fax(818) 500-0957

Sole ProprietorYes

Medical School CMSOtherGraduated 1977

Enumeration DateJuly 15, 2005

Last NPPES UpdateApril 7, 20202 updates tracked since enumeration

NPPES CertifiedApril 7, 2020

✔ NPI 1154320836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A49837

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License A49837 (CA)

710 S CENTRAL AVE STE 330, Glendale, CA 91204

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Other Identifiers 1

Medicaid00A498370CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rodolfo Baguinguito Protacio M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325942295

PECOS Enrollment IDI20081203000679

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.

Medicare Billing Reassignment

Medicare enrollment records show Rodolfo Protacio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

California Primary Health Care Corp

Same address

Internal Medicine

710 S. CENTRAL AVENUE, SUITE 340
Glendale, CA 91204

Reassigned Medicare billing, California enrollment

NPI 1154583193 (818) 500-8739

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

343 services127 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

85 services85 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

38 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

17 suppliers83 claims178 services$5.07 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

17 suppliers65 claims80 services$0.86 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers23 claims23 services$31.64 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers18 claims18 services$14.86 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers18 claims18 services$67.42 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers12 claims12 services$21.66 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

MS. ROSALINDA VALMEO PROTACIO NP

Nurse Practitioner (Family)