| Dr Roberto Luis Rodriguez, MD | |
|
10775 Pioneer Trl Ste 215, Truckee, CA 96161-0234 | |
| (415) 424-4266 | |
| (415) 520-6633 |
| Full Name | Dr Roberto Luis Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 10775 Pioneer Trl Ste 215, Truckee, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548252836 | NPI | - | NPPES |
| 002472 | Medicaid | HI | |
| 181402206 | Medicaid | TX | |
| 830105662 | Medicaid | MO | |
| 250016795 | Medicaid | NV | |
| 100241921 | Medicaid | CA | |
| 2200757 | Medicaid | WA | |
| 9000199578 | Medicaid | CO | |
| 106158 | Medicaid | AZ |
| Entity Name | Peoples Community Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598896391 PECOS PAC ID: 1951337237 Enrollment ID: O20050711000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roberto Luis Rodriguez, MD 10775 Pioneer Trl Ste 215, Truckee, CA 96161-0234 Ph: (415) 424-4266 | Dr Roberto Luis Rodriguez, MD 10775 Pioneer Trl Ste 215, Truckee, CA 96161-0234 Ph: (415) 424-4266 |
Dr. Alida Fiamengo, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10956 Donner Pass Rd Ste 310, Truckee, CA 96161 Phone: 530-587-3523 | |
Dr. Lindara L Halloran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Dr. Stephanie Sophie Lee, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Dr. Maria Sylma Ortiz-tweed, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Jennifer Berkovich, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Dr. Adrian J Khaw, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Ellen Marie Dejong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 510-307-6773 |