JOSE ANTONIO RODRIGUEZ M.D.
NPI 1508829185
Family Medicine in Fontana, CA

Q: What is Jose Rodriguez's NPI number?

The NPI number for Jose Rodriguez is 1508829185. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Q: What is Jose Rodriguez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jose Rodriguez was last updated on March 8, 2022. 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.

Active since April 06, 2006PECOS Enrolled

7965 SIERRA AVE STE E, FONTANA, CA 92336(909) 356-4459(909) 355-4261 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 8, 2022, Mar 31, 2020 (2 updates tracked since 2020).

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About Jose Antonio Rodriguez M.d. NPPES

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

JOSE ANTONIO RODRIGUEZ M.D. (NPI 1508829185) is an individual family medicine provider in Fontana, California, licensed in California (A78410) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508829185

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOSE ANTONIO RODRIGUEZCredential: M.D.

Location Address7965 SIERRA AVE STE EFontana, CA 92336-3329

Mailing Address742 W Highland AveSan Bernardino, CA 92405-3839 · (909) 376-4438 · Fax (909) 881-7330

Phone(909) 356-4459

Fax(909) 355-4261

Sole ProprietorNo

Enumeration DateApril 6, 2006

Last NPPES UpdateMarch 8, 20222 updates tracked since enumeration

NPPES CertifiedMarch 8, 2022

✔ NPI 1508829185 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 · A78410

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.

7965 SIERRA AVE STE E, Fontana, CA 92336

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Other Identifiers 2

OtherCA118228CA · Pecos

Medicaid1508829185CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Antonio Rodriguez M.d. 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 Jose Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Marcos Medical Group Inc

3.7 mi

Obstetrics & Gynecology

14980 SUMMIT AVE STE 230
Fontana, CA 92336

Reassigned Medicare billing, California enrollment
49 clinicians in this Medicare group

NPI 1447446448 (909) 376-4438

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

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.

22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92336 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 11

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

NANCY PULIDO NP

Obstetrics & Gynecology (Obstetrics)