NPIMap

Individual provider Active NPI

Rodrigo Maramba Cid, A.N.P.

  • Family Health Clinical Nurse Specialist
  • Bullhead City, AZ
National Provider Identifier
1306258116
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
AP5504 Issued in AZ
Practice address
1225 Hancock Rd
Suite C
Bullhead City, AZ 86442-5948
Phone
(928) 758-0121
Fax
(928) 758-0128
NPI assigned
May 28, 2014
Last updated
May 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X AP5504 AZ Primary

Addresses

Primary practice location

1225 Hancock Rd
Suite C
Bullhead City, AZ 86442-5948

Mailing address

1225 Hancock Rd
Suite C
Bullhead City, AZ 86442-5948
Phone (928) 758-0121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140912000812 AZ Practitioner - Nurse Practitioner 5294954855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Oasis Medical Center PLLCGroup PAC ID 2466435144, 2 clinicians
Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians

Practice addresses (Care Compare)

1225 Hancock Rd
Suite C
Bullhead City, AZ 86442-5961
Phone (928) 758-0121

2585 Miracle Mile
Bullhead City, AZ 86442-7522

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Link Medical Inc CurrentSince Jan 1, 2018 Accepting new patients
Link Medical Inc CurrentSince Jan 1, 2018 Accepting new patients

Locations

1555 Ramar Rd
Bullhead City, AZ 86442
Phone (702) 960-6930

6710 N 47th Ave
Ste 4
Glendale, AZ 85301

6710 N 47th Ave
Ste 8
Glendale, AZ 85301
Phone (623) 842-3077

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGAJCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AGAJCD/Endpoint/AGAJCD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1306258116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 HANCOCK RD",
            "address_2": "SUITE C",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425948",
            "telephone_number": "928-758-0121",
            "fax_number": "928-758-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 HANCOCK RD",
            "address_2": "SUITE C",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425948",
            "telephone_number": "928-758-0121",
            "fax_number": "928-758-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CID",
        "first_name": "RODRIGO",
        "middle_name": "MARAMBA",
        "credential": "A.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "AZ",
            "license": "AP5504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.