ANTONIO HURTADO RODRIGUEZ MD
NPI 1255587820
General Practice in Pomona, CA

Q: What is Antonio Rodriguez's NPI number?

The NPI number for Antonio Rodriguez is 1255587820. It was assigned to this individual provider in the NPPES registry on August 14, 2008. The provider is also known as Antonio Hurtado Rodriguez MD.

Q: What is Antonio Rodriguez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Antonio Rodriguez was last updated on February 2, 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 August 14, 2008PECOS Enrolled

630 N PARK AVE, POMONA, CA 91768(909) 622-3700(909) 622-3744 Get Directions Write a Review

NPPES record last updated: February 2, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 2, 2020, Feb 13, 2016, Dec 11, 2015 (3 updates tracked since 2015).

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About Antonio Hurtado Rodriguez Md NPPES

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

ANTONIO HURTADO RODRIGUEZ MD (NPI 1255587820) is an individual general practice provider in Pomona, California, licensed in California (109646) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255587820

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameANTONIO HURTADO RODRIGUEZCredential: MD

Location Address630 N PARK AVEPomona, CA 91768-3621

Mailing Address630 N Park AvePomona, CA 91768-3621 · (909) 622-3700 · Fax (909) 622-3744

Phone(909) 622-3700

Fax(909) 622-3744

Sole ProprietorNo

Enumeration DateAugust 14, 2008

Last NPPES UpdateFebruary 2, 20203 updates tracked since enumeration

✔ NPI 1255587820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · 109646

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

630 N PARK AVE, Pomona, CA 91768

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Other Names 1

Former Name (1)Antonio Hurtado Rodriguez Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antonio Hurtado Rodriguez Md 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.

Areas of Expertise CMS Part B claims

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.

23 services17 patients

Referred Medical Equipment & Supplies CMS DME claims

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

4 suppliers13 claims22 services$5.45 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

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

ANTONIO HURTADO RODRIGUEZ M.D., A PROFESSIONAL CORPORATION

Clinic/Center (Primary Care)

630 N PARK AVE
POMONA, CA 91768

Los Angeles County (909) 622-3700

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 Antonio Rodriguez's NPI number?

The NPI number for Antonio Rodriguez is 1255587820. It was assigned to this individual provider in the NPPES registry on August 14, 2008. The provider is also known as Antonio Hurtado Rodriguez MD.

Where is Antonio Rodriguez located?

Antonio Rodriguez practices at 630 N Park Ave, Pomona, CA 91768. The listed phone number is (909) 622-3700.

What is Antonio Rodriguez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Antonio Rodriguez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Antonio Rodriguez was last updated on February 2, 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.