Stephanie Rodriguez, PNP is a medicare enrolled "Pediatrics - Pediatric Allergy/immunology" in Los Angeles, California. Her current practice location is
4650 W Sunset Blvd, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(323) 361-2501.
Stephanie Rodriguez is licensed to practice in California (license number 95021925) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336821594.
Provider's Profile
Full Name | Stephanie Rodriguez |
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Gender | Female |
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Speciality | Pediatrics - Pediatric Allergy/immunology |
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Location | 4650 W Sunset Blvd, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336821594
- Provider Enumeration Date: 08/07/2023
- Last Update Date: 07/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 2163877267
- Enrollment ID: I20231010001585
Medical Identifiers
Medical identifiers for Stephanie Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336821594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0200X | Nurse Practitioner - Pediatrics | 95021925 (California) | Secondary |
2080P0201X | Pediatrics - Pediatric Allergy/immunology | 95021925 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephanie Rodriguez allows following entities to bill medicare on her behalf.
Entity Name | St. John's Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Rodriguez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stephanie Rodriguez, PNP 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 Ph: (323) 361-2501 | Stephanie Rodriguez, PNP 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 Ph: (323) 361-2501 |
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