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RODERICK D. PENALOSA M.A.
NPI 1487838843
Counselor - Mental Health in Oakland, CA

Active since December 20, 2007PECOS EnrolledAccepts Medicare Assignment
255 INTERNATIONAL BLVD, OAKLAND, CA 94606(510) 835-2777(510) 835-0164 Get Directions Write a Review

NPPES record last updated: December 20, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roderick D. Penalosa M.a. NPPES

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

RODERICK D. PENALOSA M.A. (NPI 1487838843) is an individual mental health provider in Oakland, California and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1487838843
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRODERICK D. PENALOSACredential: M.A.
Location Address255 INTERNATIONAL BLVDOakland, CA 94606-2235
Mailing Address255 International Blvd.Oakland, CA 94606 · (510) 835-2777 · Fax (510) 835-0164
Phone(510) 835-2777
Fax(510) 835-0164
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateDecember 20, 2007
✔ NPI 1487838843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
255 INTERNATIONAL BLVD, Oakland, CA 94606
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

Roderick D. Penalosa M.a. 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 ID8820518079
PECOS Enrollment IDI20250219000798
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.

Other Providers at the Same Location NPPES 19

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

MS. HA LE CAO
Marriage & Family Therapist
255 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 835-2777
ANIL VERMA
Case Manager/Care Coordinator
255 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 835-2777
MR. ANGELO ERCIA MPH
Community Health Worker
255 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 835-2777
ANN MARIE ROJAS-CHEATHAM
Community Health Worker
255 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 835-2777
JULIA MOON BRADLEY PSYD
Student in an Organized Health Care Education/Training Program
255 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 835-2777
GERELMAA BATAA
Community Health Worker
255 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 229-7377
WOOKAJA PERAZA MFTI
Marriage & Family Therapist
255 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 835-2777
MR. DANIEL SEBASTIEN VAN BEEK B.A.
Student in an Organized Health Care Education/Training Program
255 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 835-2777

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 Roderick Penalosa's NPI number?

The NPI number for Roderick Penalosa is 1487838843. It was assigned to this individual provider in the NPPES registry on December 20, 2007.

Where is Roderick Penalosa located?

Roderick Penalosa practices at 255 International Blvd, Oakland, CA 94606. The listed phone number is (510) 835-2777.

What is Roderick Penalosa's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Roderick Penalosa enrolled in Medicare?

Yes. Roderick Penalosa 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.

What insurance does Roderick Penalosa accept?

Health plans from Blue Cross and Blue Shield of Texas list Roderick Penalosa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roderick Penalosa was last updated on December 20, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.