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KENNETH EDUARDO RODRIGUEZ
NPI 1710854328
Physician Assistant in Newport Beach, CA

Active since October 20, 2025PECOS Enrolled
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660(949) 722-7038(949) 630-4900 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth Eduardo Rodriguez NPPES

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

KENNETH EDUARDO RODRIGUEZ (NPI 1710854328) is an individual physician assistant in Newport Beach, California, licensed in California (67529) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1710854328
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNETH EDUARDO RODRIGUEZ
Location Address22 CORPORATE PLAZA DRNewport Beach, CA 92660-7985
Mailing Address31892 La Subida DrTrabuco Canyon, CA 92679-3405 · (949) 257-8524
Phone(949) 722-7038
Fax(949) 630-4900
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 20, 2025
Last NPPES UpdateMarch 13, 2026
NPPES CertifiedMarch 13, 2026
✔ NPI 1710854328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 67529
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

22 CORPORATE PLAZA DR, Newport Beach, CA 92660
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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 (PECOS)

Kenneth Eduardo Rodriguez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355824814
PECOS Enrollment IDI20260312001584
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 92660 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

MRS. BRENDA ANN BUSHEY PA-C
Physician Assistant
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038
NEWPORT ORTHOPEDIC INSTITUTE, A MEDICAL CORPORATION
Durable Medical Equipment & Medical Supplies
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038
HOAG HOSPITAL
General Acute Care Hospital
22 CORPORATE PLAZA DR, SUITE 150
NEWPORT BEACH, CA 92660
Orange County (949) 515-0708
JEANNE MARIE BREXA OTL, CHT
Specialist
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-5054
MISS JOYCE E. ANDERSON R.N.F.A.
Registered Nurse (Registered Nurse First Assistant)
22 CORPORATE PLAZA DR, SUITE 150
NEWPORT BEACH, CA 92660
Orange County (949) 515-0708
BARBARA E. RITTER RN CNOR RNFA
Registered Nurse (Registered Nurse First Assistant)
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 515-0708
MRS. WENDY DELGADO PA-C
Physician Assistant (Medical)
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038
CECIL S. REYES PA-C
Physician Assistant (Surgical)
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038

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 Kenneth Rodriguez's NPI number?

The NPI number for Kenneth Rodriguez is 1710854328. It was assigned to this individual provider in the NPPES registry on October 20, 2025.

Where is Kenneth Rodriguez located?

Kenneth Rodriguez practices at 22 Corporate Plaza Dr, Newport Beach, CA 92660. The listed phone number is (949) 722-7038.

What is Kenneth Rodriguez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kenneth Rodriguez enrolled in Medicare?

Yes. Kenneth Rodriguez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Rodriguez was last updated on March 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.