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

Javier Rodriguez, PA-C

Individual provider Physician Assistant · NPI 1174729040

Javier Rodriguez, PA-C is a Physician Assistant in Santa Ana, California. Qualified in 2006, 20 years ago. Practices with South Central Family Health Center, a 21-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1617 E 1st St Ste A
Santa Ana, CA 92701-6385
Phone: (714) 246-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 19041 (CA)

Record details

NPI number1174729040
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 26, 2007
Last updated in NPPESNovember 30, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice South Central Family Health Center — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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