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MRS. DAVIDA ELISE RODRIGUEZ
NPI 1174763924
Marriage & Family Therapist in Los Angeles, CA

Active since March 05, 2009PECOS Enrolled
4947 GAMBIER ST, LOS ANGELES, CA 90032(323) 532-4709 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2021, Jan 26, 2021 (2 updates tracked since 2021).

About Mrs. Davida Elise Rodriguez NPPES

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

MRS. DAVIDA ELISE RODRIGUEZ (NPI 1174763924) is an individual marriage & family therapist in Los Angeles, California, licensed in California (112271) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174763924
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. DAVIDA ELISE RODRIGUEZ
Location Address4947 GAMBIER STLos Angeles, CA 90032-2118
Mailing Address4947 Gambier StLos Angeles, CA 90032-2118 · (323) 532-4709
Phone(323) 532-4709
Sole ProprietorNo
Enumeration DateMarch 5, 2009
Last NPPES UpdateFebruary 3, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
✔ NPI 1174763924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 112271
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4947 GAMBIER ST, Los Angeles, CA 90032
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Davida Elise Rodriguez 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.

Medicare Billing Reassignment

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

Grow Healthcare Group PC
307 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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

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 Davida Rodriguez's NPI number?

The NPI number for Davida Rodriguez is 1174763924. It was assigned to this individual provider in the NPPES registry on March 5, 2009.

Where is Davida Rodriguez located?

Davida Rodriguez practices at 4947 Gambier St, Los Angeles, CA 90032. The listed phone number is (323) 532-4709.

What is Davida Rodriguez's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Davida Rodriguez enrolled in Medicare?

Yes. Davida Rodriguez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Davida Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Davida Rodriguez reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, 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 Davida Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Davida Rodriguez accept?

Health plans from Blue Cross and Blue Shield of Texas list Davida Rodriguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Davida Rodriguez was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.