ESMERALDA HUAMBACHANO RODRIGUEZ – Physical Therapist, NPI 1205655792

ESMERALDA HUAMBACHANO RODRIGUEZ is a healthcare provider. based in Camarillo, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 307138 (CA). The NPI Number for ESMERALDA HUAMBACHANO RODRIGUEZ is 1205655792

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ESMERALDA HUAMBACHANO RODRIGUEZ
NPI
1205655792
Phone
(805) 804-4168
Address
1203 FLYNN RD UNIT 160
Enumeration Date
10 October 2024
Last Update Date
13 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8055262311
Graduation Year
2024 (2 years ago)
PAC ID
5698200780
Group Practice PAC ID
2062312911
Professional Enrollment ID
I20241126003473
Address ID
CA930652263SI1855XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for ESMERALDA HUAMBACHANO RODRIGUEZ

  • 1203 FLYNN RD UNIT 160

    CAMARILLO, CA 930126203

    Phone: (805) 804-4168

    Fax: (805) 830-1177

    Type: Mailing

  • 1855 COCHRAN ST STE 109

    SIMI VALLEY, CA 930652265

    Phone: (805) 526-2311

    Fax: (805) 526-6608

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-11-26

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
I20241126003473IPhysical Therapist In Private PracticeCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93012)

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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: 2062312911View full group profile
NameSpecialtyState
-CA
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Sports Medicine, Orthopedic SurgeryCA
Physical Therapist In Private PracticeCA
Hand Surgery, Orthopedic SurgeryCA

Reviews

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Frequently asked questions

What identifier follows ESMERALDA HUAMBACHANO RODRIGUEZ across health systems?
The NPI 1205655792 uniquely identifies ESMERALDA HUAMBACHANO RODRIGUEZ in U.S. healthcare data.
Is ESMERALDA HUAMBACHANO RODRIGUEZ currently accepting referrals based on NPI status?
Registry metadata lists ESMERALDA HUAMBACHANO RODRIGUEZ as active.
What does the directory say ESMERALDA HUAMBACHANO RODRIGUEZ does?
Insurance directories may phrase it differently, but here ESMERALDA HUAMBACHANO RODRIGUEZ maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ESMERALDA HUAMBACHANO RODRIGUEZ?
ESMERALDA HUAMBACHANO RODRIGUEZ is associated with Camarillo, California in the same public data insurers reference.
Who maintains ESMERALDA HUAMBACHANO RODRIGUEZ's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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