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CARLOS RODRIGUEZ PA-C
NPI 1174929194
Physician Assistant in San Diego, CA

Active since November 18, 2014PECOS Enrolled
316 25TH ST, SAN DIEGO, CA 92102(619) 445-6200 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carlos Rodriguez Pa-c NPPES

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

CARLOS RODRIGUEZ PA-C (NPI 1174929194) is an individual physician assistant in San Diego, California, licensed in California (52164) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174929194
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCARLOS RODRIGUEZCredential: PA-C
Location Address316 25TH STSan Diego, CA 92102-3016
Mailing Address316 25th StSan Diego, CA 92102-3016
Phone(619) 445-6200
Sole ProprietorYes
Enumeration DateNovember 18, 2014
✔ NPI 1174929194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 52164
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
316 25TH ST, San Diego, CA 92102
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Rodriguez Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92102 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO,INC
Clinic/Center (Federally Qualified Health Center (FQHC))
316 25TH ST
SAN DIEGO, CA 92102
San Diego County (619) 662-4100
MOUNTAIN HEALTH & COMMUNITY SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
316 25TH ST
SAN DIEGO, CA 92102
San Diego County (619) 238-5551

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 Carlos Rodriguez's NPI number?

The NPI number for Carlos Rodriguez is 1174929194. It was assigned to this individual provider in the NPPES registry on November 18, 2014.

Where is Carlos Rodriguez located?

Carlos Rodriguez practices at 316 25th St, San Diego, CA 92102. The listed phone number is (619) 445-6200.

What is Carlos Rodriguez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carlos Rodriguez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Carlos Rodriguez was last updated on November 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.