KRISTINA ADRIANA RODRIGUEZ
NPI 1558894048
Student in an Organized Health Care Education/Training Program in Vallejo, CA

Q: What is Kristina Rodriguez's NPI number?

The NPI number for Kristina Rodriguez is 1558894048. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Q: What is Kristina Rodriguez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment

975 SERENO DR, VALLEJO, CA 94589(707) 651-4071(707) 651-2152 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2021, Apr 11, 2017 (2 updates tracked since 2017).

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About Kristina Adriana Rodriguez NPPES

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

KRISTINA ADRIANA RODRIGUEZ (NPI 1558894048) is an individual student in an organized health care education/training program in Vallejo, California and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2017).

NPPES Registry Identity

NPI1558894048

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKRISTINA ADRIANA RODRIGUEZ

Location Address975 SERENO DRVallejo, CA 94589-2441

Mailing Address975 Sereno DrVallejo, CA 94589-2441

Phone(707) 651-4071

Fax(707) 651-2152

Sole ProprietorNo

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2017

Enumeration DateApril 11, 2017

Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration

✔ NPI 1558894048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

975 SERENO DR, Vallejo, CA 94589

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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

Kristina Adriana 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 ID3476892662

PECOS Enrollment IDI20210405001891

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 20

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

DR. ROBERTA YIWUN WANG M.D.

Physical Medicine & Rehabilitation