Individual provider Active NPI

Christopher-Armand Zaragoza Mabini, DO

  • Obstetrics & Gynecology Physician
  • Evanston, IL
National Provider Identifier
1992265797
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
125075291 Issued in IL
Practice address
355 Ridge Ave
Evanston, IL 60202-3328
Phone
(949) 290-7630
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 125075291 IL Primary

Addresses

Primary practice location

355 Ridge Ave
Evanston, IL 60202-3328

Mailing address

355 Ridge Ave
Evanston, IL 60202-3399
Phone (847) 316-6229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20230925002813 AR Practitioner - Obstetrics/Gynecology 9234163387 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Alabama College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Healthcare NetworkGroup PAC ID 6305756339, shared by 34 NPIs, 91 clinicians

Practice addresses (Care Compare)

1107 W Poplar Ave
Porterville, CA 93257-5839
Phone (559) 781-7242

Hospital & facility affiliations

  • Thorek Memorial Hospital Hospital, Chicago, IL, CCN 140115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
125075291ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group Obstetrics & Gynecology CurrentSince Sep 1, 2023 Accepting new patients
Arkansas Health Group Current Accepting new patients
Arkansas Health Group CurrentSince Sep 1, 2023 Accepting new patients
Arkansas Health Group Obstetrics & Gynecology CurrentSince Sep 1, 2023 Accepting new patients
Baptist Health CurrentSince Sep 1, 2023 Accepting new patients
Arkansas Health Group Current Accepting new patients
Arkansas Health Group CurrentSince Sep 1, 2023 Accepting new patients
Baptist Health CurrentSince Sep 1, 2023 Accepting new patients

Locations

2913 Cypress Rd
Ste 100
Arkadelphia, AR 71923
Phone (870) 246-2471

2915 Cypress Rd
Ste D
Arkadelphia, AR 71923
Phone (870) 246-3055

2913 Cypress Rd
Ste 200
Arkadelphia, AR 71923
Phone (870) 246-5097

625 United Dr
Ste 420
Conway, AR 72032
Phone (501) 358-6941

11001 Executive Center Dr
Little Rock, AR 72211
Phone (501) 812-7215

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

9601 Baptist Health Dr
Ste 700
Little Rock, AR 72205
Phone (501) 219-1970

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

1703 N Buerkle St
Ste 4
Stuttgart, AR 72160
Phone (870) 674-6190

Interoperability endpoints

  • Direct secure messaging: cmabini700379@direct.baptist-healthar.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1992265797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023399",
            "telephone_number": "847-316-6229",
            "fax_number": "847-316-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023328",
            "telephone_number": "949-290-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABINI",
        "first_name": "CHRISTOPHER-ARMAND",
        "middle_name": "ZARAGOZA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "125075291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.