Active NPI
Rodrigo Maramba Cid, A.N.P.
- Family Health Clinical Nurse Specialist
- Bullhead City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- AP5504
- 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
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLCParagon Physical Therapy and Rehab LLC
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
- River Valley Home Health
- Valley View Home Health
- Western Arizona Regional Medical Center
- Valley View Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP5504 | AZ | MD | Family Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Link Medical Inc | Current | Accepting new patients | |
| Link Medical Inc | Current | 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
- https://fhir4.healow.com/fhir/r4/AGAJCD/Endpoint/AGAJCD
- https://fhir4.healow.com/fhir/r4/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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1538694104
-
- Internal Medicine Physician
- Bullhead City, AZ
- NPI 1730657016
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bullhead City, AZ
- NPI 1265979033
-
- General Acute Care Hospital
- Bullhead City, AZ
- NPI 1255302766
Hospital
-
- Urgent Care Clinic/Center
- Bullhead City, AZ
- NPI 1780996223
Hospital
-
- Home Health Agency
- Lake Havasu City, AZ
- NPI 1578947842
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.