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

Mr. Jose Trinidad Rodriguez, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1578949954

Mr. Jose Trinidad Rodriguez, PHYSICIANASSISTANT is a Physician Assistant in West Covina, California. Qualified in 2009, 17 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2015
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Practice location Address checks out

396 S California Ave Unit 2161
West Covina, CA 91793-3486
Phone: (626) 328-3082
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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 PA52619 (CA)

Record details

NPI number1578949954
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedAugust 7, 2015
Last updated in NPPESSeptember 26, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Covina