MR. GUSTAVO ALBERT RODRIGUEZ (NPI# 1073670253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073670253 |
| Entity Type | Individual |
| Full Name | MR. GUSTAVO ALBERT RODRIGUEZ |
| Credential | LISAC |
| Practice Address |
3802 W 16th St Yuma AZ 85364-4107 |
| Practice Telephone | 9283760026 |
| Practice Fax Number | 9287822298 |
| Mailing Telephone | 9283760026 |
| Mailing Fax Number | 9287822298 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-1257 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558837021 | Gustavo Rodriguez | Optometrist | 510 W 1st Ave Unit 934, Toppenish, WA 98948-1564 | 2018-10-22 |
| 1295978740 | Gustavo Rodriguez | Family Medicine | 1401 Medical Parkway, Bldg C, Suite 150, Cedar Park, TX 78613 | 2009-04-14 |
| 1417509803 | Gustavo Rodriguez Jr. | Counselor | 380 Encinal St Ste 200, Santa Cruz, CA 95060-2178 | 2019-07-15 |
| 1104484054 | Gustavo Rodriguez | Behavior Technician | 11921 Freedom Dr Ste 550, Reston, VA 20190-5635 | 2019-06-04 |
| 1013482058 | Gustavo L Rodriguez | Nurse Practitioner | 1535 Sw 87th Ave, Miami, FL 33174-3312 | 2018-10-05 |
| 1457849184 | Gustavo Macias Rodriguez Jr. | Counselor | 380 Encinal St Ste 200, Santa Cruz, CA 95060-2178 | 2018-04-27 |
| 1225537343 | Gustavo Rodriguez | Student in an Organized Health Care Education/Training Program | 1156 Calle 62 Se, San Juan, PR 00921-2724 | 2018-02-04 |
| 1851567101 | Gustavo A Rodriguez | Counselor | 2020 Zonal Ave, Rm 215, Los Angeles, CA 90033 | 2008-05-07 |
| 1396935011 | Gustavo J Rodriguez | Neurological Surgery | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2007-07-30 |
| 1104043371 | Gustavo Adolfo Rodriguez | Counselor | 56 East Ave, Austin, TX 78701-4323 | 2007-04-19 |
| Street Address |
3802 W 16TH ST |
| City | YUMA |
| State | AZ |
| Zip Code | 85364-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144382524 | Community Intervention Associagtes | Counselor | 3802 W 16th St, Yuma, AZ 85364-4107 | 2006-12-14 |
| 1396183166 | Heather Anne Smith | Specialist/Technologist | 3802 W 16th St, Yuma, AZ 85364-4107 | 2013-06-13 |
| 1477897056 | Rocio Rosales-terrazas | Speech-Language Pathologist | 3802 W 16th St, Yuma, AZ 85364-4107 | 2012-11-20 |
| 1841541703 | Gloria I Romo | Specialist/Technologist | 3802 W 16th St, Yuma, AZ 85364-4107 | 2012-10-01 |
| 1487959458 | Cristina Conroy Castillo | Specialist/Technologist | 3802 W 16th St, Yuma, AZ 85364-4107 | 2011-01-21 |
| 1487815676 | Amy Garren | Speech-Language Pathologist | 3802 W 16th St, Yuma, AZ 85364-4107 | 2008-06-19 |
| 1225163280 | Stephanie Kaye Crawford | Counselor | 3802 W 16th St, Yuma, AZ 85364-4107 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295041531 | Shelley Simson Plotkin | Counselor | 7669 E Olive Ann Ln, Yuma, AZ 85365-7835 | 2010-08-24 |
| 1740487594 | Geovana Colosio | Counselor | 1020 S 4th Ave, Suite C, Yuma, AZ 85364-3859 | 2007-06-27 |
| 1134268485 | Martin A Loaiza | Counselor | 3250 E 40th St Ste A, Yuma, AZ 85365-7994 | 2007-02-05 |
| 1205991478 | Myra Elaine Garlit Barber | Counselor | 2291 E Palo Verde St, Yuma, AZ 85365-3621 | 2006-12-27 |
| 1144382524 | Community Intervention Associagtes | Counselor | 3802 W 16th St, Yuma, AZ 85364-4107 | 2006-12-14 |
| 1538229570 | Robert James Shelton | Counselor | 944 S Arizona Ave, Yuma, AZ 85364-3947 | 2006-12-11 |
| 1174620637 | David Elmer Waples | Counselor | 2573 S Arizona Ave, Suite G, Yuma, AZ 85364 | 2006-09-19 |
| 1467943456 | Fernando Barbaro Acosta | Counselor | 281 W 24th St, Yuma, AZ 85364-8500 | 2018-05-24 |
| 1790237592 | Applied Behavioral Interventions, Pllc | Counselor | 200 S 3rd Ave, Suite 220, Yuma, AZ 85364-2224 | 2016-10-27 |
| 1780090753 | Michelle R Sullivan | Counselor | 2573 S Arizona Ave, Yuma, AZ 85364-7336 | 2014-07-10 |
| Find all providers in YUMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.