Healthcare Provider Details

I. General information

NPI: 1003722935
Provider Name (Legal Business Name): RODERICK MESSINGER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1022 BAY AREA DR.
NATIONAL CITY CA
91950-0000
US

IV. Provider business mailing address

1022 BAY AREA DR.
NATIONAL CITY CA
91950-0000
US

V. Phone/Fax

Practice location:
  • Phone: 619-278-7000
  • Fax:
Mailing address:
  • Phone: 619-278-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1710I1002X
TaxonomyIndependent Duty Corpsman
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: