MEDICARE: DAVID RODRIGUEZ M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208C00000X	Colon & Rectal Surgery Physician	A79225	CA

General Provider Information

NPI Number	:	1134313240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID RODRIGUEZ M.D., INC.

Provider Business Mailing Address
First Line	:	3941 J ST STE 366
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95819-3633
Country	:	US
Telephone Number	:	916-451-2888
Fax Number	:	916-451-2891

Provider Business Practice Location Address
First Line	:	3941 J ST STE 366
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95819-3633
Country	:	US
Telephone Number	:	916-451-2888
Fax Number	:	916-451-2891

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID RODRIGUEZ
Credential	:	M.D.
Telephone Number	:	916-451-2888

Provider Enumeration Date	:	08/31/2007
Last Update Date	:	02/08/2026

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