JOSE LUIS RODRIGUEZ (MD) – Neurological Surgery Physician, NPI 1235115072

JOSE LUIS RODRIGUEZ (MD) is a healthcare provider. based in Pomona, California. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. G49547 (CA). The NPI Number for JOSE LUIS RODRIGUEZ (MD) is 1235115072

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
JOSE LUIS RODRIGUEZ (MD)
NPI
1235115072
Phone
(909) 450-0369
Address
255 E BONITA AVE
Enumeration Date
22 December 2005
Last Update Date
15 June 2010

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
9094500369213
Graduation Year
1981 (45 years ago)
PAC ID
7113905993
Group Practice PAC ID
2961445267
Professional Enrollment ID
I20040708001202
Address ID
CA917671923PO255XXAVEX418
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

795 NEUROSURGERY in CA

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Provider Addresses for JOSE LUIS RODRIGUEZ (MD)

  • 255, Bonita Avenue, North Pomona, Pomona, Los Angeles County, California, 91767, United States

    BUILDING #9

    POMONA, CA 917671923

    Phone: (909) 450-0369

    Fax: (909) 450-0366

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $184.

Total Amount is formed as General ($184) + Research ($0) + Ownership ($0) = $184.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Medtronic, Inc. ($121).

Total Amount

$184

General + Research + Ownership

Payments

8

Total payment records

General Amount

$184

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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: 2004-07-08

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
I20040708001202INeurosurgeryCATBD

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
99204New patient office or other outpatient visit, 45-59 minutes4141$0
72148Mri scan of lower spinal canal without contrast2929$0
72141Mri scan of upper spinal canal without contrast2726$0
99214Established patient office or other outpatient visit, 30-39 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 91767)

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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: 2961445267View full group profile
NameSpecialtyState
General Surgery, NeurosurgeryCA
Diagnostic RadiologyCA
Physician AssistantCA
-CA
Physician AssistantCA
N E U R O S U R G E R YCA
Physician AssistantNH
N E U R O S U R G E R YCA
N E U R O S U R G E R YCA
Interventional Radiology, NeurosurgeryCA

Reviews

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Frequently asked questions

Where can patients find JOSE LUIS RODRIGUEZ (MD)'s NPI?
You can confirm JOSE LUIS RODRIGUEZ (MD) with NPI 1235115072; it appears in the national provider directory.
Is JOSE LUIS RODRIGUEZ (MD) currently active in the NPI registry?
CMS-published data lists JOSE LUIS RODRIGUEZ (MD) as an active registrant.
Can you summarize JOSE LUIS RODRIGUEZ (MD)'s specialty in plain language?
Clinically, the directory lists JOSE LUIS RODRIGUEZ (MD) with Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for JOSE LUIS RODRIGUEZ (MD)?
We surface Pomona, California for JOSE LUIS RODRIGUEZ (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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