Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Connor Daniel Rodriguez

Individual provider Peer Specialist · NPI 1619764123

Connor Daniel Rodriguez is a Peer Specialist in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

800 Scenic Dr
Modesto, CA 95350-6131
Phone: (208) 543-4815
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-BHPVAY (CA)

Record details

NPI number1619764123
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 21, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025
Mailing address800 Scenic Dr, Modesto, CA 95350-6131

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