JEFFREY RODRIGUEZ


Address: 975 Carl Cir, Edwards, CA 93523-1906
Phone: 6615243966

JEFFREY RODRIGUEZ (NPI# 1730606658) 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) 1730606658
Entity Type Individual
Full Name JEFFREY RODRIGUEZ
Credential IDMT
Practice Address 975 Carl Cir
Edwards
CA 93523-1906
Practice Telephone 6615243966
Mailing Telephone 6615243966
Enumeration Date 2017-08-23
Last Update Date 2017-08-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Other Providers JEFFREY RODRIGUEZ

NPI Name Taxonomy Address Enumeration
1386142693 Jeffrey Gabriel Rodriguez II Specialist/Technologist Rice University, Ms 548, 6100 S. Main St., Houston, TX 77005-7700 2018-02-01
1376820142 Jeffrey Rene Rodriguez Counselor 6726 N Forest Bnd, San Antonio, TX 78240-3303 2011-11-08
1427170976 Jeffrey Thomas Rodriguez Pharmacist 2401 Veterans Blvd Suite 12, Kenner, LA 70062 2007-04-04
1588192926 Jeffrey Rodriguez Case Manager/Care Coordinator 17707 Studebaker Rd, Cerritos, CA 90703-2640 2017-05-30
1467872143 Jeffrey Maguire Rodriguez Family Medicine 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 2014-04-22
1437279882 Jeffrey Ruben Rodriguez Technician, Health Information 8750 Mountain Blvd Bldg 69, Oakland, CA 94605-4500 2007-03-30
1497768493 Jeffrey J Rodriguez Chiropractor 2351 W Northwest Hwy, Ste 3100, Dallas, TX 75220-4433 2006-08-14

Office Location

Street Address 975 CARL CIR
City EDWARDS
State CA
Zip Code 93523-1906

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427373398 Gregg Alexander Bendrick Preventive Medicine 4822 Mckay Ave, Nasa Dryden Flight Research Center, Edwards, CA 93523 2010-04-02
1831545623 Lee Paschen Physician Assistant 30 Nightingale Road, Edwards Afb, CA 93523 2016-05-11
1306904875 Terry Lee Coryell Stotler Social Worker 6719 Doolittle Dr, Edwards, CA 93523-2105 2006-12-05
1326414269 Tamara Hopper Shoulders Physical Therapist 755 S Knight Dr, Edwards, CA 93523-2429 2015-08-14
1770775017 Dawn L. Cotton Student in an Organized Health Care Education/Training Program 10 Eagle Ct, Edwards, CA 93523-2619 2007-08-10
1184047144 Austin Puente Military Health Care Provider 1069 Butler Dr, Edwards, CA 93523-2622 2014-01-28
1760887848 Catherine Cook Lactation Consultant, Non-RN 1365 Levier St, Edwards, CA 93523-2705 2014-10-30
1649689514 Erin Carey Nurse's Aide 1460 S Bikle Loop, Edwards, CA 93523-2707 2014-08-05
1134720832 Shelina Hardwick-moses Licensed Practical Nurse 1391 Frost St, Edwards, CA 93523-2715 2020-11-08
1780720805 Muroc Joint Unified School District Local Education Agency (LEA) 17100 Foothill Ave, North Edwards, CA 93523-3533 2007-01-29
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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184047144 Austin Puente Military Health Care Provider 1069 Butler Dr, Edwards, CA 93523-2622 2014-01-28
1922409655 Franklin Miranda Military Health Care Provider 55 N Wolfe Ave, Edwards, CA 93524-6201 2014-09-12
1619103298 Jahnpayne Bowling Military Health Care Provider 1 Hospital Rd, Edwards, CA 93524-1701 2009-06-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366051294 Ryan Allan Arriaga Military Health Care Provider 1000 Allison Dr, Vacaville, CA 95687-4975 2020-07-27
1851917165 Katelyn Renee Watson Military Health Care Provider 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 2020-06-23
1558911024 Christopher Andersen Military Health Care Provider 1000 Allison Dr Apt 183, Vacaville, CA 95687-4988 2019-09-17
1558873968 Giovanni Oddo Military Health Care Provider 25051 Mawson Dr, Laguna Hills, CA 92653-5263 2017-10-26
1154847960 James Edward Schafer Military Health Care Provider 883 Covey Ct, Hollister, CA 95023-8906 2017-08-15
1437551702 Jonathan Saplan Military Health Care Provider 1411 Pelican Way, Suisun City, CA 94585-2330 2014-09-18
1093124398 Benjamin Ryan Foy Military Health Care Provider 2784 Hornet Way, San Diego, CA 92106-6421 2014-08-12
1598182214 Matthew Wheaton Burns Military Health Care Provider 105 Colorado St, Travis Afb, CA 94535-1255 2014-03-19
1508282658 April Summers Military Health Care Provider 2205 Farrell Ave Apt 204, Redondo Beach, CA 90278-1846 2014-03-13
1942623707 John Cardona Military Health Care Provider 1621 Wallingford Lane, Fairfield, CA 94533 2014-01-30
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Competitor

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City EDWARDS
Zip Code 93523

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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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