STEPHANIE RODRIGUEZ PNP
NPI 1336821594
Pediatrics - Pediatric Allergy/Immunology in Los Angeles, CA

Active since August 07, 2023PECOS Enrolled
4650 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 361-2501 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 2, 2025, Aug 7, 2023 (2 updates tracked since 2023).

About Stephanie Rodriguez Pnp NPPES

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

STEPHANIE RODRIGUEZ PNP (NPI 1336821594) is an individual pediatric allergy/immunology provider in Los Angeles, California, licensed in California (95021925) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336821594
Entity TypeIndividualFemale
Primary Taxonomy2080P0201X
Provider Legal NameSTEPHANIE RODRIGUEZCredential: PNP
Location Address4650 W SUNSET BLVDLos Angeles, CA 90027-6062
Mailing Address4650 W Sunset BlvdLos Angeles, CA 90027-6062 · (323) 361-2501
Sole ProprietorNo
Enumeration DateAugust 7, 2023
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1336821594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0201X
License✔ Licensed in CA · 95021925
Definition
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 95021925 (CA)
4650 W SUNSET BLVD, Los Angeles, CA 90027

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Rodriguez Pnp 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 Stephanie Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1910 MAGNOLIA AVE
Los Angeles, CA 90007
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: St. John's Community Health
  • 404 clinicians in this Medicare group

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

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.

Pediatrics
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Pediatrics (Pediatric Pulmonology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
General Acute Care Hospital (Children)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Physical Therapist (Pediatrics)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Psychologist (Clinical Child & Adolescent)
4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD
LOS ANGELES, CA 90027

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 Stephanie Rodriguez's NPI number?

The NPI number for Stephanie Rodriguez is 1336821594. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Where is Stephanie Rodriguez located?

Stephanie Rodriguez practices at 4650 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 361-2501.

What is Stephanie Rodriguez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Is Stephanie Rodriguez enrolled in Medicare?

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

Which organization bills Medicare for Stephanie Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Rodriguez reassigns Medicare benefits to St. Johns Community Health (Los Angeles, 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 Stephanie Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Rodriguez was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.