Individual provider · Type 1 NPI

Randy Richard Rodriguez, PA-C, MS

Medical Physician Assistant · San Diego, CA

NPI number 1043868870 Active

Practice location

721 S 28th St
San Diego, CA 92113-2113

Call (619) 515-2324 Map

Mailing address

823 Gateway Center Way
San Diego, CA 92102-4541

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X57456 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1043868870

Randy Richard Rodriguez, PA-C, MS's National Provider Identifier is 1043868870, issued on Aug 26, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Diego, CA. The record was last updated on Apr 3, 2026.