JOHNNY DUARTE RODRIGUEZ NPI 1558061366

NPI Information

NPI: 1558061366
Provider Name: JOHNNY DUARTE RODRIGUEZ
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
44199 MONROE ST STE B
INDIO, CA
ZIP 92201
Phone: (760) 863-7067
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Johnny Duarte Rodriguez is a peer specialist in Indio, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Johnny Duarte Rodriguez NPI is 1558061366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

44199 MONROE ST STE B
INDIO, CA
ZIP 92201-094
Phone: (760) 863-7067

The enumeration date for this NPI number is 3/9/2023 and was last updated on 12/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	172V00000X	Community Health Worker	MPSS-ELXSHU	CALIFORNIA	No
2	175T00000X	Peer Specialist			No
3	175T00000X	Peer Specialist	MPSS-ELXSHU	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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