PAULINA IVETTE REYNOSA RODRIGUEZ
NPI 1457219669
Nurse Practitioner - Family in Oxnard, CA

Active since January 15, 2026PECOS EnrolledAccepts Medicare Assignment
2100 STATHAM BLVD, OXNARD, CA 93033(805) 330-8680(805) 728-1428 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paulina Ivette Reynosa Rodriguez NPPES

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

PAULINA IVETTE REYNOSA RODRIGUEZ (NPI 1457219669) is an individual family provider in Oxnard, California, licensed in California (95038224) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1457219669
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAULINA IVETTE REYNOSA RODRIGUEZ
Location Address2100 STATHAM BLVDOxnard, CA 93033
Mailing Address1040 Flynn RdCamarillo, CA 93012-5092 · (805) 673-3930 · Fax (805) 659-3217
Fax(805) 728-1428
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 15, 2026
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
NPI 1457219669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95038224
2100 STATHAM BLVD, Oxnard, CA 93033

Other Names 1

Other Name (5)Paulina Ivette Reynosa

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Paulina Ivette Reynosa Rodriguez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234604075
PECOS Enrollment IDI20260408003869
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 93033 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

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.

Family Medicine
2100 STATHAM BLVD
OXNARD, CA 93033
Marriage & Family Therapist
2100 STATHAM BLVD
OXNARD, CA 93033
Physician Assistant
2100 STATHAM BLVD
OXNARD, CA 93033
Physician Assistant
2100 STATHAM BLVD
OXNARD, CA 93033
Nurse Practitioner (Family)
2100 STATHAM BLVD
OXNARD, CA 93033
Obstetrics & Gynecology
2100 STATHAM BLVD
OXNARD, CA 93033
Physician Assistant
2100 STATHAM BLVD
OXNARD, CA 93033
Clinic/Center (Community Health)
2100 STATHAM BLVD
OXNARD, CA 93033

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 Paulina Reynosa Rodriguez's NPI number?

The NPI number for Paulina Reynosa Rodriguez is 1457219669. It was assigned to this individual provider in the NPPES registry on January 15, 2026. The provider is also known as Paulina Ivette Reynosa.

Where is Paulina Reynosa Rodriguez located?

Paulina Reynosa Rodriguez practices at 2100 Statham Blvd, Oxnard, CA 93033. The listed phone number is (805) 330-8680.

What is Paulina Reynosa Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Paulina Reynosa Rodriguez enrolled in Medicare?

Yes. Paulina Reynosa Rodriguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Paulina Reynosa Rodriguez was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.