JOSE ANTONIO RODRIGUEZ (M.D.) – Family Medicine Physician, NPI 1508829185

JOSE ANTONIO RODRIGUEZ (M.D.) is a healthcare provider. based in San bernardino, California. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. A78410 (CA). The NPI Number for JOSE ANTONIO RODRIGUEZ (M.D.) is 1508829185

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
JOSE ANTONIO RODRIGUEZ (M.D.)
NPI
1508829185
Phone
(909) 864-4700
Address
2150 N WATERMAN AVE STE 202
Enumeration Date
6 April 2006
Last Update Date
8 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9094282040
Graduation Year
1982 (44 years ago)
PAC ID
7517978828
Group Practice PAC ID
7810800661
Professional Enrollment ID
I20060530000267
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for JOSE ANTONIO RODRIGUEZ (M.D.)

  • 2150 N WATERMAN AVE STE 202

    SAN BERNARDINO, CA 924044811

    Phone: (909) 864-4700

    Fax: (909) 383-4009

    Type: Location

  • 742 W HIGHLAND AVE

    SAN BERNARDINO, CA 924053839

    Phone: (909) 376-4438

    Fax: (909) 881-7330

    Type: Mailing

  • 7965 SIERRA AVE STE E

    FONTANA, CA 923363329

    Phone: (909) 356-4459

    Fax: (909) 355-4261

    Type: Location

  • 3400, Data Drive, Rancho Cordova, Sacramento County, California, 95670, United States

    RANCHO CORDOVA, CA 956707956

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $324.

Total Amount is formed as General ($324) + Research ($0) + Ownership ($0) = $324.

Last reported payment date: 2024-07-19 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($134).

Total Amount

$324

General + Research + Ownership

Payments

6

Total payment records

General Amount

$324

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-19

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: 2006-05-30

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
I20060530000267IFamily 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 92404)

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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: 7810800661View full group profile

Reviews

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Frequently asked questions

Can I cross-check JOSE ANTONIO RODRIGUEZ (M.D.) using NPI 1508829185?
NPI 1508829185 belongs to JOSE ANTONIO RODRIGUEZ (M.D.); compare other details if you need extra assurance.
Is JOSE ANTONIO RODRIGUEZ (M.D.) still an active registrant?
JOSE ANTONIO RODRIGUEZ (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with JOSE ANTONIO RODRIGUEZ (M.D.)?
JOSE ANTONIO RODRIGUEZ (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOSE ANTONIO RODRIGUEZ (M.D.)?
Travel planning: use San Bernardino, California as the reference point for JOSE ANTONIO RODRIGUEZ (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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