Aris P. Paraguya, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R80777 Issued in AZ

Practice address

1510 E Wagon Wheel LN Ste 104
Fort Mohave, AZ 86426-6698

Phone

(928) 889-2273

Fax

(928) 212-1355

NPI assigned

Apr 6, 2016

Last updated

Sep 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Colorado River Primary Care, Inc

  dba Tri State Primary Care

  • Internal Medicine Physician
  • Fort Mohave, AZ
  • NPI 1669146536
  NPD (past)

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1396109385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E WAGON WHEEL LN STE 104",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266698",
            "telephone_number": "928-889-2273",
            "fax_number": "928-212-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E WAGON WHEEL LN STE 104",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266698",
            "telephone_number": "928-889-2273",
            "fax_number": "928-212-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAGUYA",
        "first_name": "ARIS",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R80777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Ly Nguyen, PHARM D
• Ashley Nottingham
• Tracy D Osborne, MSN, FNP-C
• Rachel Otis, MLS
• Frank Pallares, MD
• Kristen Peddycord, FNP-BC
• Shirley Pauline Peer, RPH
• PHC-Fort Mohave Inc (Valley View Medical Center)
• PHC-Fort Mohave Inc (Valley View Home Health)
• PHC-Fort Mohave Inc (Valley View Medical Center-Rehab Unit)

• Family Medicine Physician in Fort Mohave, AZ
• Providers in Fort Mohave, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.