DR. RODOLFO BAGUINGUITO PROTACIO (M.D.) – Internal Medicine Physician, NPI 1154320836

DR. RODOLFO BAGUINGUITO PROTACIO (M.D.) is a healthcare provider. based in Glendale, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A49837 (CA). The NPI Number for DR. RODOLFO BAGUINGUITO PROTACIO (M.D.) is 1154320836

Main info

Male
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. RODOLFO BAGUINGUITO PROTACIO (M.D.)
NPI
1154320836
Phone
(818) 500-8739
Address
710 S CENTRAL AVE STE 330
Enumeration Date
15 July 2005
Deactivation Date
18 March 2006
Reactivation Date
11 April 2006
Last Update Date
24 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9562452275
Graduation Year
1977 (49 years ago)
PAC ID
8325942295
Group Practice PAC ID
8325428857
Professional Enrollment ID
I20081203000679
Address ID
CA924083265SA275XXLNXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:20State licenses:3Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for DR. RODOLFO BAGUINGUITO PROTACIO (M.D.)

  • 330, South Central Avenue, Glendale, Los Angeles County, California, 91204, United States

    GLENDALE, CA 912044647

    Phone: (818) 500-8739

    Fax: (818) 500-0957

    Type: Mailing

  • 1500 S CENTRAL AVE STE 108

    GLENDALE, CA 912042785

    Phone: (818) 500-8739

    Fax: (818) 500-0957

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 90 Open Payments records for all available years, with a total value of $2,675.

Total Amount is formed as General ($2,675) + Research ($0) + Ownership ($0) = $2,675.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Abbott Laboratories ($476).

Total Amount

$2,675

General + Research + Ownership

Payments

90

Total payment records

General Amount

$2,675

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081203000679IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes296116$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9292$0
99213Established patient office or other outpatient visit, 20-29 minutes5137$0
View full utilization report →

Insurance plans in this area (ZIP 91204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325428857View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What NPI should I save for DR. RODOLFO BAGUINGUITO PROTACIO (M.D.)?
Save NPI 1154320836 if you need a stable reference for DR. RODOLFO BAGUINGUITO PROTACIO (M.D.).
Is DR. RODOLFO BAGUINGUITO PROTACIO (M.D.) active in the national directory?
DR. RODOLFO BAGUINGUITO PROTACIO (M.D.)'s public NPI profile is in an active state.
What does DR. RODOLFO BAGUINGUITO PROTACIO (M.D.) treat or focus on?
Patients typically see DR. RODOLFO BAGUINGUITO PROTACIO (M.D.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. RODOLFO BAGUINGUITO PROTACIO (M.D.)?
The page summarizes Glendale, California for DR. RODOLFO BAGUINGUITO PROTACIO (M.D.); expand the address list for detail.
What if Glendale, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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