Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lauren Nicole-Kubeck Rodgers, PA-C

Individual provider Physician Assistant · NPI 1538562103

Lauren Nicole-Kubeck Rodgers, PA-C is a Physician Assistant in Rancho Cucamonga, California. Qualified in 2014, 12 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2014
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

7365 Carnelian St Ste 137
Rancho Cucamonga, CA 91730-1100
Phone: (909) 948-8888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1601 Monte Vista Ave, Claremont, CA 91711-2962 — (909) 865-9977

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA51922 (CA)

Record details

NPI number1538562103
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 26, 2014
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rancho Cucamonga