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

Randy Richard Rodriguez, PA-C, MS

Individual provider Physician Assistant · NPI 1043868870

Randy Richard Rodriguez, PA-C, MS is a Physician Assistant in San Diego, California. Qualified in 2019, 7 years ago. Practices with Family Health Centers of San Diego Inc, a 297-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

721 S 28th St
San Diego, CA 92113-2113
Phone: (619) 515-2324
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 57456 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1043868870
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , MS
Sole proprietorNo
NPI enumeratedAugust 26, 2019
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Family Health Centers Of San Diego Inc — 297 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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