DR. JACLYN RODRIGUEZ (NPI# 1750762027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750762027 |
| Entity Type | Individual |
| Full Name | DR. JACLYN RODRIGUEZ |
| Credential | D.O. |
| Practice Address |
10250 Santa Monica Blvd Ste 2440 Los Angeles CA 90067-6593 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3102860122 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
20A17859 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
10250 SANTA MONICA BLVD STE 2440 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90067-6593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699959973 | Emanuela Maria Bonfoco | Family Medicine | 10250 Santa Monica Blvd Ste 2440, Los Angeles, CA 90067-6593 | 2007-12-22 |
| 1619511227 | Natalie Laura Manitius | Dietitian, Registered | 10250 Santa Monica Blvd Ste 2440, Los Angeles, CA 90067-6593 | 2019-11-06 |
| 1619526704 | Ingrid Maria Payton | Physical Therapist | 10250 Santa Monica Blvd Ste 2440, Los Angeles, CA 90067-6593 | 2019-09-10 |
| 1588050173 | Theresa Poulos | Family Medicine | 10250 Santa Monica Blvd Ste 2440, Los Angeles, CA 90067-6593 | 2015-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447028 | Shahrooz Saidian Dds Inc | Clinic/Center | 10231 Santa Monica Blvd Ste D, Los Angeles, CA 90067 | 2018-08-15 |
| 1467945758 | Braid Medical Corporation | Anesthesiology | 2080 Century Park E Ste 1111, Los Angeles, CA 90067 | 2018-06-11 |
| 1396233185 | Caroline Petrossian | Internal Medicine | 1880 Century Park East Suite 711, Century City, CA 90067 | 2018-04-26 |
| 1568860823 | Jaycee James | Naturopath | 2029 Century Park E, Los Angeles, CA 90067 | 2014-12-18 |
| 1437418803 | Ariella Aliza Morrow | Internal Medicine | 2080 Century Park E Ste 1605, Los Angeles, CA 90067 | 2012-05-04 |
| 1346524659 | Ben Shamoiel Chiropractic Inc | Chiropractor | 2080 Century Park East, Suite 503, Los Angeles, CA 90067 | 2011-10-05 |
| 1679709075 | Steven Kupferman Dmd Md Inc | Oral & Maxillofacial Surgery | 2080 Century Park East Blvd, Suite 710, Los Angeles, CA 90067 | 2009-06-01 |
| 1922214980 | Irwin Hoffman | Internal Medicine | 2298 Century Hill, Los Angeles, CA 90067 | 2007-05-15 |
| 1306068473 | David Hashimy Alexander | Obstetrics & Gynecology | 2080 Century Park E. #1206, Los Angeles, CA 90067 | 2007-05-02 |
| 1013131796 | Innovative Diagnostic Medical Group | Physical Medicine & Rehabilitation | 1801 Century Park East, Suite 1040, Los Angeles, CA 90067 | 2007-04-12 |
| Find all providers in zip 90067 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875570 | Nader Sobh Inc | Family Medicine | 11740 San Vicente Blvd Ste 205, Los Angeles, CA 90049-6610 | 2020-06-15 |
| 1467630806 | Eric D. Jackson-scott | Family Medicine | 2355 Westwood Blvd Ste 609, Los Angeles, CA 90064-2109 | 2008-02-07 |
| 1437417441 | Leena Jay Patel | Family Medicine | 4950 W Sunset Blvd, 4th Floor, Los Angeles, CA 90027-5822 | 2012-04-26 |
| 1851623029 | Walter R Obrien Md Inc A Medical Corporation | Family Medicine | 11710 Wilshire Blvd, Los Angeles, CA 90025-1503 | 2010-02-12 |
| 1366671836 | Ho Je Lee | Family Medicine | 966 S Western Ave, Ste 201, Los Angeles, CA 90006-1015 | 2009-07-06 |
| 1992840680 | Javid Tavari, D.o., Inc. | Family Medicine | 11645 Wilshire Blvd, Suite 745, Los Angeles, CA 90025-1708 | 2007-02-20 |
| 1821186958 | Augusto Rojas | Family Medicine | 11961 Venice Blvd, Los Angeles, CA 90066-3905 | 2006-10-11 |
| 1326061896 | Allan Abbott | Family Medicine | 1520 San Pablo St Ste 1300, Los Angeles, CA 90033-5310 | 2006-07-25 |
| 1346290814 | Walter R O'brien | Family Medicine | 11600 Wilshire Blvd, Suite 522, Los Angeles, CA 90025-5781 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124596010 | Cam Md | Family Medicine | 1968 S Coast Hwy # 401, Laguna Beach, CA 92651-3681 | 2018-11-08 |
| 1902289226 | Daesoon Leem | Family Medicine | 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 | 2015-07-06 |
| 1114313616 | Michelle Sriwongtong | Family Medicine | 834 Castro St, 3, San Francisco, CA 94114-2858 | 2015-04-10 |
| 1225433006 | Harut Madatovian | Family Medicine | 2595 E Washington Blvd Ste 106, Pasadena, CA 91107-1409 | 2014-10-23 |
| 1760801880 | Kyle William Meyer | Family Medicine | 24910 Las Brisas Rd Ste 105, Murrieta, CA 92562 | 2014-04-16 |
| 1720403553 | Dianne Longo | Family Medicine | 1319 Evergreen Ave, Apt N2, Fullerton, CA 92835-2063 | 2014-03-03 |
| 1255760633 | Steven William Marles | Family Medicine | 4265 Tapestry Way, Turlock, CA 95382-7448 | 2013-11-05 |
| 1497098909 | Joshua David Sampson | Family Medicine | 2299 Post St Ste 107, San Francisco, CA 94115-3460 | 2013-04-03 |
| 1699015529 | Andrew Saleh | Family Medicine | 1370 Rosecrans St Ste A, San Diego, CA 92106-2676 | 2013-03-01 |
| 1487913588 | James Toldi | Family Medicine | 4010 Sorrento Valley Blvd Ste 300, San Diego, CA 92121-1433 | 2012-05-09 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90067 |
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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.