Active NPI
Mariz Jane Bacasmo Carizon, FNP
- Family Nurse Practitioner
- Rancho Mirage, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95027416
- Practice address
- 39000 Bob Hope Dr
Rancho Mirage, CA 92270-3202 - Phone
- (760) 346-0642
- Fax
- (760) 340-9152
- NPI assigned
- Sep 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95027416 | CA | Primary |
| Registered Nurse | 163W00000X | 839010 | CA |
Addresses
Primary practice location
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3202
Mailing address
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3202
Phone (760) 346-0642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911
39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Phone (760) 340-0053
44419 Town Ctr Way
Suite E
Palm Desert, CA 92260-2704
Phone (760) 469-9843
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icco LLC | Current | Accepting new patients | |
| Carbon Health Medical Group of California PC | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Carbon Health Medical Group of Massachusetts PC | Past | Accepting new patients |
Locations
3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883
Phone (951) 293-4722
401 Grand Ave
#1112
Oakland, CA 94610
Phone (800) 756-4206
44419 Town Center Way
Ste E
Palm Desert, CA 92260
Phone (760) 469-9843
600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611
1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684
3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337
3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605
Organizations & group practices 5
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.
-
dba Carbon Health
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1528836897
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1396524567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703202",
"telephone_number": "760-346-0642",
"fax_number": "760-340-9152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703202",
"telephone_number": "760-346-0642",
"fax_number": "760-340-9152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARIZON",
"first_name": "MARIZ JANE",
"middle_name": "BACASMO",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-26",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95027416",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "839010",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
- Leslie Lisa Cardenas
- Cardiothoracic Surgery Assoc of the Desert
- Cardiothoracic Surgery Associates of the Desert
- Lee H Cardon, CPO
- Caritas Medical Associates
- Carlos a. Lopez a Professional Corporation (Internal Medicine Specialists)
- Isabel G Carlos
- Carlton W. Thomas, M.D., a Professional Corp
- Mark George Carmichael, MD
- Alexis Lyan Carmona, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.