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

Javier Carlos Rodriguez

Individual provider Registered Nurse · NPI 1417613761

Javier Carlos Rodriguez is a Nurse Practitioner in San Jose, California. Qualified in 2025, 1 year ago. Practices with Bay Area Community Health, a 104-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

800 N 1st St
San Jose, CA 95112-6312
Phone: (669) 300-7177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95037124 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95241874 (CA)

Record details

NPI number1417613761
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 11, 2021
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Bay Area Community Health — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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