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CARLOS GUSTAVO RODRIGUEZ M.D.
NPI 1811046485
Family Medicine in Pasadena, CA

Active since January 10, 2007PECOS Enrolled
1403 N FAIR OAKS AVE, SUITE 3, PASADENA, CA 91103(626) 398-0354 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carlos Gustavo Rodriguez M.d. NPPES

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

CARLOS GUSTAVO RODRIGUEZ M.D. (NPI 1811046485) is an individual family medicine provider in Pasadena, California, licensed in California (A56502) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1811046485
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCARLOS GUSTAVO RODRIGUEZCredential: M.D.
Location Address1403 N FAIR OAKS AVE, SUITE 3Pasadena, CA 91103-1858
Mailing Address1403 N Fair Oaks Ave, Suite 3Pasadena, CA 91103-1858 · (626) 398-0354
Phone(626) 398-0354
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateJanuary 10, 2007
Last NPPES UpdateMarch 3, 2020
NPPES CertifiedMarch 3, 2020
✔ NPI 1811046485 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 · A56502
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.
1403 N FAIR OAKS AVE, Pasadena, CA 91103
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Other Identifiers 3

Other00A565020CA · Blue Cross Blue Shield
Medicaid00A565020CA
MedicaidGR0100500CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Gustavo Rodriguez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981691730
PECOS Enrollment IDI20040427000830
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 91103 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 4

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

CEDARS NORTHWEST MEDICAL GROUP, INC.
Specialist
1403 N FAIR OAKS AVE, STE 2
PASADENA, CA 91103
Los Angeles County (626) 791-0953
R & R CLINICAL & MEDICAL CORP
Family Medicine
1403 N FAIR OAKS AVE, SUITE 3
PASADENA, CA 91103
Los Angeles County (626) 398-0354
PASADENA PRIMARY CARE INC
General Practice
1403 N FAIR OAKS AVE, SUITE 2
PASADENA, CA 91103
Los Angeles County (626) 797-4477
DR. ARTHUR SAROUGHIAN PHARM.D, APH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1403 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (818) 282-3483

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 Carlos Rodriguez's NPI number?

The NPI number for Carlos Rodriguez is 1811046485. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Carlos Rodriguez located?

Carlos Rodriguez practices at 1403 N Fair Oaks Ave Suite 3, Pasadena, CA 91103. The listed phone number is (626) 398-0354.

What is Carlos Rodriguez's specialty?

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

Is Carlos Rodriguez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Carlos Rodriguez was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.