Miguel A Rodriguez (NPI# 1568562684, PAC ID# 0648359026) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1568562684 |
| PAC ID by PECOS | 0648359026 |
| Professional Enrollment ID | I20080509000618 |
| Full Name | Miguel A Rodriguez |
| Organization Legal Name | SAN DIMAS EMERGENCY MEDICAL ASSOCIATES INC. |
| Address |
1350 W Covina Blvd San Dimas CA 91773-3245 |
| Phone Number | 9095996811 |
| Gender | M |
| Medical School | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0648334235 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050586 | CHINO VALLEY MEDICAL CENTER |
| 050588 | SAN DIMAS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5451 Walnut Ave, Chino, CA 91710-2609 | 9094648666 | CHINO EMERGENCY MEDICAL ASSOCIATES, INC. |
| 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 9095996811 | SAN DIMAS EMERGENCY MEDICAL ASSOCIATES INC. |
| Organization Legal Name | SAN DIMAS EMERGENCY MEDICAL ASSOCIATES INC. |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Pero | Emergency Medicine | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| Alexander S Lee | Emergency Medicine | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| Ralph E Conner Iii | General Practice | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| Corbett Grant Peek | Emergency Medicine | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| Theomal H Kurera | Emergency Medicine | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| L Lee Nelson | Emergency Medicine | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| Paul S Batmanis | Emergency Medicine | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| Jose Sing | Emergency Medicine | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| Lenley B Jackson | Emergency Medicine | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| Melissa A Cox | Nurse Practitioner | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| Street Address |
1350 W COVINA BLVD |
| City | SAN DIMAS |
| State | CA |
| Zip | 91773-3245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Pero | Emergency Medicine | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| Alexander S Lee | Emergency Medicine | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| Ralph E Conner Iii | General Practice | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| Corbett Grant Peek | Emergency Medicine | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| Hasmukh G Joshi | Anesthesiology | San Dimas Anesthesia Medical Group | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| Theomal H Kurera | Emergency Medicine | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| L Lee Nelson | Emergency Medicine | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| Paul S Batmanis | Emergency Medicine | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| Jose Sing | Emergency Medicine | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| Lenley B Jackson | Emergency Medicine | San Dimas Emergency Medical Associates Inc. | 1350 W Covina Blvd, San Dimas, CA 91773-3245 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norma E Bachoura | Family Medicine | Norma Bachoura M D Inc | 150 W Foothill Blvd, San Dimas, CA 91773-1102 |
| Ma Koreena Yu | Physician Assistant | Norma Bachoura M D Inc | 150 W Foothill Blvd, San Dimas, CA 91773-1102 |
| Clifford L Sussman | Internal Medicine | 150 W Foothill Blvd, San Dimas, CA 91773-1103 | |
| Thomas P Delaney | Psychologist, Clinical | 1173 N Dixie Dr, Suite 101, San Dimas, CA 91773-1200 | |
| Lorane M Dick | Family Medicine | 554 E Foothill Blvd, Suite 120, San Dimas, CA 91773-1222 | |
| Lorrie Hill Crawford | Psychologist, Clinical | 554 E Foothill Blvd, Suite 106, San Dimas, CA 91773-1222 | |
| Judy C Lee | Family Medicine | Southern California Permanente Medical Group | 1255 W Arrow Hwy, San Dimas, CA 91773-2340 |
| Adrienne A Hill | Family Medicine | Southern California Permanente Medical Group | 1255 W Arrow Hwy, San Dimas, CA 91773-2340 |
| Yu Liu | Family Medicine | Southern California Permanente Medical Group | 1255 W Arrow Hwy, San Dimas, CA 91773-2340 |
| Monica M Perez | Obstetrics/gynecology | Southern California Permanente Medical Group | 1255 W Arrow Hwy, San Dimas, CA 91773-2340 |
| Find all physicians in zip 91773 | |||
| City | SAN DIMAS |
| Zip Code | 91773 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SAN DIMAS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Miguel A Rodriguez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.