ANNETTE ARIEL RODRIGUES PA
NPI 1205381845
Physician Assistant - Medical in San Diego, CA
About Annette Ariel Rodrigues Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNETTE ARIEL RODRIGUES PA (NPI 1205381845) is an individual medical provider in San Diego, California, licensed in California (PA56749) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Annette Ariel Rodrigues Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAN DIEGO, CA 92123
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 Annette Rodrigues's NPI number?
The NPI number for Annette Rodrigues is 1205381845. It was assigned to this individual provider in the NPPES registry on August 24, 2016. The provider is also known as Annette Ariel Kiviat PA.
Where is Annette Rodrigues located?
Annette Rodrigues practices at 3030 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-4003.
What is Annette Rodrigues's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Annette Rodrigues enrolled in Medicare?
Yes. Annette Rodrigues is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Annette Rodrigues was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Annette Ariel Rodrigues, PA · NPI 1205381845
Medical physician in San Diego, California. Individual provider, active in the CMS NPPES registry since August 24, 2016.
## Identity
- **NPI:** 1205381845 (Entity type: Individual)
- **Enumerated:** August 24, 2016
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA56749 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3030 CHILDRENS WAY, San Diego, CA 92123-4232
- **Phone:** (858) 966-4003
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205381845) · Data from the CMS NPPES public registry.