GRACE RODRIGUEZ (NPI# 1497286306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497286306 |
| Entity Type | Individual |
| Full Name | GRACE RODRIGUEZ |
| Credential | M.D. |
| Practice Address |
525 W Acacia St Stockton CA 95203-2405 |
| Mailing Address |
10270 E Taron Dr Apt 363 Elk Grove CA 95757-8236 |
| Practice Telephone | 2099445550 |
| Mailing Telephone | 7088432440 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A168084 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 410 W 10th Ave, Columbus, OH 432101240 | 6142933989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534223 | Grace Rodriguez | Physical Therapy Assistant | 1370 Emerald Gate Ln, El Paso, TX 79936-7261 | 2020-03-25 |
| 1750636957 | Grace D Rodriguez | Psychologist | Rd4 Plaza 3, Rio Cristal, Encantada, Trujillo Alto, PR 00976-6004 | 2012-07-13 |
| 1649757501 | Grace Marie Rodriguez | Occupational Therapy Assistant | 1005 E 10th St, Weslaco, TX 78596-5127 | 2018-07-24 |
| Street Address |
525 W ACACIA ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95203-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538163886 | Dameron Hospital Association | General Acute Care Hospital | 525 W Acacia St, Stockton, CA 95203-2405 | 2005-06-01 |
| 1023663762 | Michelle Lai | Physician Assistant | 525 W Acacia St, Stockton, CA 95203-2405 | 2019-08-08 |
| 1619537073 | Cep America - Anesthesia PC | Anesthesiology | 525 W Acacia St, Stockton, CA 95203-2405 | 2019-06-18 |
| 1891273405 | Hospitalist Medicine Physicians of California - Stockton, PC | Internal Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2018-08-06 |
| 1518490358 | California Em-i Medical Services A Medical Corporation | Physician Assistant | 525 W Acacia St, Stockton, CA 95203-2405 | 2017-04-08 |
| 1407391576 | Steven Frank Blankenship Jr. | Dietitian, Registered | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-12-28 |
| 1376999748 | Sreekanth Murupudi | Internal Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-05-04 |
| 1346695038 | Matthew Mitchell | Pharmacist | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-04-29 |
| 1609239532 | Anil K. Sain, Md | Nuclear Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-03-29 |
| 1366812273 | Jamie Jay Bible | Physician Assistant | 525 W Acacia St, Stockton, CA 95203-2405 | 2015-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899349 | Sagrario Alva Chavez | Technician | Sagrario Chavez, 1248 West Park St., Stockton, CA 95203 | 2019-12-26 |
| 1538682810 | Kumars Transport | Non-emergency Medical Transport (VAN) | 1112 W Fremont St, Stockton, CA 95203 | 2017-07-19 |
| 1194251595 | Jesmond Ridge Medical Services A Medical Corporation | Emergency Medicine | 525 W Acacla St, Stockton, CA 95203 | 2017-05-04 |
| 1285011064 | Brian Andrew Reuter | Emergency Medicine | Dameron Hospital, 525 Acacia St, Stockton, CA 95203 | 2015-04-30 |
| 1548209240 | Aaron James Simko | Pediatrics | 525 Acacia Street, Neonatal Department, Stockton, CA 95203 | 2006-06-06 |
| 1881057461 | El Concilio | Case Management | 445 N San Joaquin St, Stockton, CA 95203 | 2016-04-01 |
| 1104312800 | Melissa Delossantos | Behavioral Analyst | 2180 Lucerne Ave, Stockton, CA 95203-1257 | 2018-07-05 |
| 1487019568 | Evelyn Marie Cabral | Registered Nurse | 1966 W Rose St, Stockton, CA 95203-1327 | 2015-12-16 |
| 1245782622 | Christine Bolthouse | Specialist/Technologist | 1858 Lucerne Ave, Stockton, CA 95203-1440 | 2016-11-01 |
| 1235476946 | Sonia D Oliver | Case Manager/Care Coordinator | 1764 W Rose St, Stockton, CA 95203-1526 | 2013-01-15 |
| Find all providers in zip 95203 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194251595 | Jesmond Ridge Medical Services A Medical Corporation | Emergency Medicine | 525 W Acacla St, Stockton, CA 95203 | 2017-05-04 |
| 1285011064 | Brian Andrew Reuter | Emergency Medicine | Dameron Hospital, 525 Acacia St, Stockton, CA 95203 | 2015-04-30 |
| 1336192582 | Rodger S Campbell | Emergency Medicine | 106 West Blair Drive, Stockton, MO 65785 | 2006-05-18 |
| 1871082917 | Christine Elizabeth Ren | Emergency Medicine | 1800 N California St, Stockton, CA 95204-6019 | 2018-05-03 |
| 1588168793 | Samuel Richard Kaplan | Emergency Medicine | 1800 N California St, Stockton, CA 95204-6019 | 2018-03-21 |
| 1831553171 | Zachary Carl Haberman | Emergency Medicine | 1800 N California St, Stockton, CA 95204-6019 | 2016-04-13 |
| 1831571785 | Tatiana Thema | Emergency Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2015-06-26 |
| 1194116459 | Gary Scott Olds | Emergency Medicine | 1800 N California St, Stockton, CA 95204-6019 | 2015-02-09 |
| 1568877728 | Luis Armando Melendez Serrano | Emergency Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2014-06-26 |
| 1518222876 | Denise Louise Ammon | Emergency Medicine | 1800 N California St, Stockton, CA 95204-6019 | 2012-07-11 |
| Find all providers in STOCKTON | ||||
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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.