ANGELINA NIETO-RODRIGUEZ MD
NPI 1407330962
Family Medicine in Los Angeles, CA

Active since September 20, 2018PECOS Enrolled
1005 E WASHINGTON BLVD STE A, LOS ANGELES, CA 90021(323) 233-3100(323) 233-4100 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2021, Jul 9, 2021, Sep 20, 2018 (3 updates tracked since 2018).

About Angelina Nieto-rodriguez Md NPPES

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

ANGELINA NIETO-RODRIGUEZ MD (NPI 1407330962) is an individual family medicine provider in Los Angeles, California, licensed in California (A166962) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1407330962
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANGELINA NIETO-RODRIGUEZCredential: MD
Location Address1005 E WASHINGTON BLVD STE ALos Angeles, CA 90021-3082
Mailing Address2801 S San Pedro StLos Angeles, CA 90011-2023 · (323) 233-3100 · Fax (323) 233-4100
Fax(323) 233-4100
Sole ProprietorNo
Enumeration DateSeptember 20, 2018
Last NPPES UpdateSeptember 2, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2021
NPI 1407330962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A166962
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1005 E WASHINGTON BLVD STE A, Los Angeles, CA 90021

Secondary Practice Location 1

Location 14527 E Cesar E Chavez AveLos Angeles, CA 90022-1116 · Phone (323) 233-3100 · Fax (323) 233-4100

Other Identifiers 1

Medicaid1407330962CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Angelina Nieto-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90021 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$21.38 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 6

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

Dietitian, Registered
1005 E WASHINGTON BLVD STE A
LOS ANGELES, CA 90021
Nurse Practitioner
1005 E WASHINGTON BLVD STE A
LOS ANGELES, CA 90021
Counselor (Mental Health)
1005 E WASHINGTON BLVD STE A
LOS ANGELES, CA 90021
Physician Assistant
1005 E WASHINGTON BLVD STE A
LOS ANGELES, CA 90021
Family Medicine
1005 E WASHINGTON BLVD STE A
LOS ANGELES, CA 90021
Physician Assistant
1005 E WASHINGTON BLVD STE A
LOS ANGELES, CA 90021

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 Angelina Nieto-rodriguez's NPI number?

The NPI number for Angelina Nieto-rodriguez is 1407330962. It was assigned to this individual provider in the NPPES registry on September 20, 2018.

Where is Angelina Nieto-rodriguez located?

Angelina Nieto-rodriguez practices at 1005 E Washington Blvd Ste A, Los Angeles, CA 90021. The listed phone number is (323) 233-3100.

What is Angelina Nieto-rodriguez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Angelina Nieto-rodriguez enrolled in Medicare?

Yes. Angelina Nieto-rodriguez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angelina Nieto-rodriguez was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.