Jaziel Rodriguez-lara, MD is a medicare enrolled "Specialist" physician in Sylmar, California. His current practice location is
14445 Olive View Dr, Sylmar, California. You can reach out to his office (for appointments etc.) via phone at
(747) 210-3000.
Jaziel Rodriguez-lara is licensed to practice in California (license number A165937) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962989533.
Physician's Profile
Full Name | Jaziel Rodriguez-lara |
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Gender | Male |
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Speciality | Specialist |
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Location | 14445 Olive View Dr, Sylmar, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962989533
- Provider Enumeration Date: 07/25/2018
- Last Update Date: 05/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 2163851353
- Enrollment ID: I20200409002521
Medical Identifiers
Medical identifiers for Jaziel Rodriguez-lara such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962989533 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | A165937 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
174400000X | Specialist | A165937 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jaziel Rodriguez-lara allows following entities to bill medicare on his behalf.
Entity Name | Los Angeles County Department Of Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319 |
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Entity Name | County Of Los Angeles |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaziel Rodriguez-lara is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jaziel Rodriguez-lara, MD 8397 Fountain Ave Apt 303, West Hollywood, CA 90069-2936 Ph: () - | Jaziel Rodriguez-lara, MD 14445 Olive View Dr, Sylmar, CA 91342-1437 Ph: (747) 210-3000 |
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