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

Individual provider Surgical Physician Assistant · NPI 1629515135

Nicholas Rodriguez, PA-C is a Surgical Physician Assistant in Chandler, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2017
Specialties on file
2
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

525 S Chandler Village Dr
Chandler, AZ 85226-5069
Phone: (602) 648-5444
Fax: (602) 772-3801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3033 N 44th St Ste 100, Phoenix, AZ 85018-7227 — (602) 631-3166

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9084 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 9084 (AZ)

Record details

NPI number1629515135
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 22, 2017
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023

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