Ross N Dia

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ROSS N DIA

Practice address

Bonita Drive
Ft. Defiance Hospital
Ft. Defiance, AZ 86504

Phone

(520) 579-8171

Fax

(520) 579-3515

NPI assigned

Jan 22, 2007

Last updated

Oct 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ross Dia

Title

Owner

Phone

(602) 284-1321

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• American Native Medical Transport Former legal business name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1598819377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 W POTRILLO PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857439669",
            "telephone_number": "520-579-8171",
            "fax_number": "520-579-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BONITA DRIVE",
            "address_2": "FT. DEFIANCE HOSPITAL",
            "city": "FT. DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "520-579-8171",
            "fax_number": "520-579-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS N DIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "DIA",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-284-1321"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464199-01",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "AZ0152010",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Native Medical Transport",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ana Maria Rodriguez
• Teresa Rodriguez, PTA
• Miriam Christine Rollason, PA
• Cynthia Cecilia Roque, M.D.
• Michelle Rosario, RD, MHDN
• David Lloyd Ross, PHARMD
• Evan M Ross, DPM
• Richard Rougeux, M.D.
• Lee E Roundy, D.M.D.
• Rafael Antonio Rubio

• Land Ambulance in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Land Ambulance in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.