Healthcare Provider Details

I. General information

NPI: 1912885278
Provider Name (Legal Business Name): XOCHITL RODRIGUEZ M.S. PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: XOCHITL VILLASENOR M.S. PPS

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 W CEDAR ST
WILLOWS CA
95988-3399
US

IV. Provider business mailing address

1145 W CEDAR ST
WILLOWS CA
95988-3399
US

V. Phone/Fax

Practice location:
  • Phone: 530-934-6633
  • Fax:
Mailing address:
  • Phone: 530-934-6633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: