RODOLFO RODRIGUEZ PHD
NPI 1881871036
Psychologist - Clinical in Santa Rosa, CA
About Rodolfo Rodriguez Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RODOLFO RODRIGUEZ PHD (NPI 1881871036) is an individual clinical provider in Santa Rosa, California, licensed in California (PSY11538) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1987).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Rodolfo Rodriguez Phd 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.
Medicare Billing Reassignment
Medicare enrollment records show Rodolfo Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Rosa, CA 95403
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA ROSA, CA 95403
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 Rodolfo Rodriguez's NPI number?
The NPI number for Rodolfo Rodriguez is 1881871036. It was assigned to this individual provider in the NPPES registry on January 29, 2008.
Where is Rodolfo Rodriguez located?
Rodolfo Rodriguez practices at 1550 Airport Blvd Ste 206, Santa Rosa, CA 95403. The listed phone number is (707) 799-4274.
What is Rodolfo Rodriguez's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Rodolfo Rodriguez enrolled in Medicare?
Yes. Rodolfo Rodriguez 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.
Which organization bills Medicare for Rodolfo Rodriguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rodolfo Rodriguez reassigns Medicare benefits to Cross Cultural Services And Evaluations, Inc (Santa Rosa, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rodolfo Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rodolfo Rodriguez was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Rodolfo Rodriguez, PHD · NPI 1881871036
Clinical provider in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since January 29, 2008.
## Identity
- **NPI:** 1881871036 (Entity type: Individual)
- **Enumerated:** January 29, 2008
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY11538 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1550 AIRPORT BLVD, STE 206, Santa Rosa, CA 95403-1095
- **Phone:** (707) 799-4274
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Cross Cultural Services And Evaluations, Inc (NPI 1023505344, Santa Rosa, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** October 18, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1881871036) · Data from the CMS NPPES public registry.