| Randy Richard Rodriguez, PA-C, MS | |
|
721 S 28th St, San Diego, CA 92113-2113 | |
| (619) 515-2324 | |
| Not Available |
| Full Name | Randy Richard Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 721 S 28th St, San Diego, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043868870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 57456 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Health Centers Of San Diego Inc | 3476446378 | 299 |
| Entity Name | Family Health Centers of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
| Mailing Address | Practice Location Address |
|---|---|
| Randy Richard Rodriguez, PA-C, MS 823 Gateway Center Way, San Diego, CA 92102-4541 Ph: (619) 906-4623 | Randy Richard Rodriguez, PA-C, MS 721 S 28th St, San Diego, CA 92113-2113 Ph: (619) 515-2324 |
Jennifer Lee Hanley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6655 Alvarado Rd, San Diego, CA 92120 Phone: 949-632-5442 |
Ginger R Lucero, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121 Phone: 858-859-1188 |
Dr. Jennifer Anne Freimund, M.D. Physician Assistant Medicare: Medicare Enrolled Practice Location: 3350 La Jolla Village Dr, San Diego, CA 92161 Phone: 858-552-7475 |
Vanessa Wang, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7830 Clairemont Mesa Blvd, Suite 203, San Diego, CA 92111 Phone: 858-300-2626 |
James Hamilton Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-657-8200 Fax: 858-657-8235 |
Shanna Michael Miller-nabas, RDN Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-576-1700 |
Carter Donald Copeland, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7625 Mesa College Dr Ste 200a, San Diego, CA 92111 Phone: 858-223-2172 |