MR. KEVIN OMAR RODRIGUEZ (NPI# 1215581368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215581368 |
| Entity Type | Individual |
| Full Name | MR. KEVIN OMAR RODRIGUEZ |
| Practice Address |
3270 Kerner Blvd San Rafael CA 94901-4840 |
| Mailing Address |
1304 N Kansas St El Paso TX 79902-4229 |
| Practice Telephone | 4154734274 |
| Mailing Telephone | 9157907786 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881198661 | Kevin Irvain Rodriguez | Behavior Technician | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2018-03-19 |
| 1245748532 | Kevin Bernard Rodriguez I | Case Manager/Care Coordinator | 391 E 149th St, Bronx, NY 10455-3907 | 2018-01-20 |
| 1831638709 | Kevin Rodriguez | Physical Therapist | 7430 Remcon Cir, Bldg A, El Paso, TX 79912-3514 | 2017-02-13 |
| 1659779841 | Kevin Neftali Rodriguez | Case Manager/Care Coordinator | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2014-12-20 |
| 1720226327 | Kevin Robert Rodriguez | Physical Therapist | 1827 S Court St, Suite C, Visalia, CA 93277-5469 | 2009-02-04 |
| 1710961792 | Kevin A Rodriguez | Emergency Medicine | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2005-12-02 |
| Street Address |
3270 KERNER BLVD |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730108549 | Kristine Y Kwok | Social Worker | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2006-07-19 |
| 1124655014 | Nhan Pham | Case Manager/Care Coordinator | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2020-03-23 |
| 1609409481 | Maggie M Mclain | Marriage & Family Therapist | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2020-02-19 |
| 1588219786 | Scott Casey Berger | Student in an Organized Health Care Education/Training Program | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2019-08-05 |
| 1821578196 | Carrie Coats | Counselor | 3270 Kerner Blvd, San Rafael, CA 94901 | 2018-08-16 |
| 1659858405 | Veronica Ponce | Rehabilitation Practitioner | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2018-07-24 |
| 1730613324 | Community Action Marin | Counselor | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2017-04-20 |
| 1619401650 | Sherry Ann Bradley | Counselor | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2017-04-17 |
| 1326581422 | Jose Cesar Leiva | Rehabilitation Practitioner | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2016-11-22 |
| 1295286243 | Trien Nguyen | Counselor | 3270 Kerner Blvd, Suite B, San Rafael, CA 94901-4840 | 2016-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770191538 | Deirdre Ann Martinez | Student in an Organized Health Care Education/Training Program | 66 Oxford Dr, San Rafael, CA 94903-2887 | 2020-07-17 |
| 1043833841 | Kevin Nasre | Student in an Organized Health Care Education/Training Program | 103 Gable Ct, San Rafael, CA 94903-5208 | 2020-05-27 |
| 1194369116 | Diana Duran Robles | Student in an Organized Health Care Education/Training Program | 308 Glen Park Ave Apt B, San Rafael, CA 94901-1361 | 2019-11-01 |
| 1710404991 | Janine Nicole Carpenter | Student in an Organized Health Care Education/Training Program | 3230 Kerner Blvd Ste 120, San Rafael, CA 94901-4840 | 2017-08-28 |
| 1477006880 | Francesca Zulueta | Student in an Organized Health Care Education/Training Program | 1050 Court St, Apt 510, San Rafael, CA 94901-2982 | 2016-08-02 |
| 1336692102 | Deborah Styles | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Ave, # 201, Community Institute for Psychotherapy, San Rafael, CA 94901-2120 | 2016-07-28 |
| 1639379944 | Elizabeth Chapman Foxx | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Avenue, San Rafael, CA 94901-2120 | 2007-07-24 |
| 1558407544 | Susan Eve Aceves | Student in an Organized Health Care Education/Training Program | 1 Saint Vincent Dr, San Rafael, CA 94903 | 2007-01-29 |
| 1396350740 | Sarah Marie Rubin | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-12 |
| 1205441730 | Arshdeep Kaur | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-11 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on MR. KEVIN OMAR RODRIGUEZ.
| 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.