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Primavera Rodriguez

Case Manager/Care Coordinator β€’ Riverside, CA

Active NPI 1700496619 Individual Practitioner Female Practitioner
Practice location in NPPES

10281 Kidd St
Riverside, CA 925033469

Call 9517155050 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10281 Kidd St

Riverside, CA 925033469

Telephone 9517155050
Organization at the Same NPPES Address or Phone
County Of Riverside Facility NPI 1598195562

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Ontario, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Riverside and California

687 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Riverside, CA (22,779 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Riverside

0% of these 687 clinicians have the CMS telehealth indicator.

0% of these 687 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-12-05
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Secondary Practice Locations

4688 Ontario Mills Pkwy

Ontario, CA 917645104

Phone: 7147283876

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location December 05, 2023

Registered at 10281 KIDD ST, RIVERSIDE, CA 925033469 (Tel: 9517155050)

🏒
Secondary Practice Location Registered December 05, 2023

Additional practice office at 4688 Ontario Mills Pkwy, Ontario, CA 917645104

βœ…
NPI Profile Active August 06, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 06, 2020

Registered at 4688 ONTARIO MILLS PKWY, ONTARIO, CA 917645104 (Tel: 7147283876)

πŸ“
Business Mailing Address (Initial Record) August 06, 2020

Registered at 4688 ONTARIO MILLS PKWY, ONTARIO, CA 917645104 (Tel: 7147283876)

πŸ‘€
Provider Name / Credentials (Initial Record) August 06, 2020

Recorded as PRIMAVERA RODRIGUEZ

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2020

Behavior Analyst

🟒
Initial NPI Registration & Enumeration August 05, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700496619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2020
Last Update: December 05, 2023
Sole Proprietor: Yes

Mailing Address

4688 Ontario Mills Pkwy

Ontario, CA 917645104

Phone: 7147283876

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.