EMILY RODDA


Address: 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403
Phone: 6505733702

EMILY RODDA (NPI# 1619300423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619300423
Entity Type Individual
Full Name EMILY RODDA
Credential PNP
Practice Address 222 W. 39th Avenue
San Mateo Medical Center - Pediatric Clinic
San Mateo
CA 94403
Practice Telephone 6505733702
Mailing Telephone 6505733702
Enumeration Date 2013-08-15
Last Update Date 2016-07-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
23362 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 222 W. 39TH AVENUE
SAN MATEO MEDICAL CENTER - PEDIATRIC CLINIC
City SAN MATEO
State CA
Zip Code 94403

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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750697926 Susan T Valentin Nurse Practitioner 123 S San Mateo Dr, San Mateo, CA 94401-3804 2010-08-26
1104852532 Kimberly J. Erlich Nurse Practitioner 100 S San Mateo Dr, 3rd Floor, Rm 3364, San Mateo, CA 94401-3805 2006-06-25

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Competitor

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City SAN MATEO
Zip Code 94403

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Dataset Information

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.

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