Individual provider Active NPI

Roberto Adrian Aranda III, NCP

  • Paramedic
  • Phoenix, AZ
National Provider Identifier
1124882063
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
85031 Issued in AZ
Practice address
4910 E Chandler Blvd Ste 122
Phoenix, AZ 85048-0868
Phone
(480) 678-5575
NPI assigned
Feb 12, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 85031 AZ Primary

Addresses

Primary practice location

4910 E Chandler Blvd Ste 122
Phoenix, AZ 85048-0868

Mailing address

2911 E Eliza Cir
Coolidge, AZ 85128-9732
Phone (480) 678-5575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
85031AZMDParamedic

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1124882063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 E ELIZA CIR",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851289732",
            "telephone_number": "480-678-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 E CHANDLER BLVD STE 122",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480868",
            "telephone_number": "480-678-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANDA",
        "first_name": "ROBERTO",
        "middle_name": "ADRIAN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "NCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "AZ",
            "license": "85031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.