DR. BRIAN D VICUNA (NPI# 1275755670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275755670 |
| Entity Type | Individual |
| Full Name | DR. BRIAN D VICUNA |
| Credential | MD |
| Practice Address |
653 N Town Center Dr Ste 402 Las Vegas NV 89144-0518 |
| Mailing Address |
400 N Stephanie St Ste 300 Henderson NV 89014-6692 |
| Practice Telephone | 7022437200 |
| Practice Fax Number | 7022289410 |
| Mailing Telephone | 7029523350 |
| Mailing Fax Number | 7029523365 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
12251 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | MD LICENSE | 12251 | 01 |
| Street Address |
653 N TOWN CENTER DR STE 402 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89144-0518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396214375 | Dulce Novakovic | Nurse Practitioner | 653 N Town Center Dr Ste 402, Las Vegas, NV 89144-0518 | 2018-11-19 |
| 1174889703 | Rachel Shirley | Surgery | 653 N Town Center Dr Ste 402, Las Vegas, NV 89144 | 2012-04-09 |
| 1003182106 | Henry Palangdao Igid | Internal Medicine | 653 N Town Center Dr Ste 402, Las Vegas, NV 89144 | 2012-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609599 | Anila Naz | Technician | 1529 Waterton Drive, Las Vegas, NV 89144 | 2018-05-10 |
| 1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1619324662 | Sydney Spoon | Dietitian, Registered | 624 Canyon Greens Dr, Las Vegas, NV 89144 | 2016-05-19 |
| 1629455985 | Md24 Nv, Inc. | Nurse Practitioner | 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 | 2015-05-06 |
| 1053652628 | Melvin Lackey Jr. | Behavioral Analyst | 10708 Esk Dr, Las Vegas, NV 89144 | 2013-03-07 |
| 1740445667 | Jaydee R. Lumbad | Family Medicine | 1111 N Town Center Drive, Las Vegas, NV 89144 | 2008-07-21 |
| 1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
| 1629252457 | Edmund Reyes Goroza | Pediatrics | 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 | 2007-12-28 |
| 1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
| Find all providers in zip 89144 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730221854 | Sharda Sun Medical Group, Pllc | Internal Medicine | 3509 E. Harmon Ave, Las Vegas, NV 89121 | 2007-02-13 |
| 1497706162 | Stephen J Iacoboni | Internal Medicine | 3006 S Maryland Pkwy Ste 205, Las Vegas, NV 89109 | 2006-05-15 |
| 1316936222 | Salman Malad | Internal Medicine | 8285 W Arby Ave Ste 100-b, Las Vegas, NV 89113-2235 | 2005-10-14 |
| 1366441743 | Raja S Mehdi | Internal Medicine | 6827 W Tropicana Ave, 110, Las Vegas, NV 89103-4918 | 2005-07-19 |
| 1821418807 | Sccn LLC | Internal Medicine | 3150 N Tenaya Way, Suite 510, Las Vegas, NV 89128-0443 | 2014-04-17 |
| 1487081048 | Shamloo Blue Sky Treatment Center Pllc | Internal Medicine | 3150 N Tenaya Way, Suite 510, Las Vegas, NV 89128-0443 | 2013-09-27 |
| 1316180771 | Raja S Mehdi Md Pllc | Internal Medicine | 6827 W Tropicana Ave Ste 110, Las Vegas, NV 89103-4920 | 2009-04-15 |
| 1376519819 | Mohammad Nafees Nagy | Internal Medicine | 3006 S Maryland Pkwy, Suite 205, Las Vegas, NV 89109-2229 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730402025 | Dina K Tack | Internal Medicine | 1535 Medical Center Parkway, Suite B, Carson City, NV 89703-4367 | 2010-03-01 |
| 1679662688 | Ghulam Hossein Kashef | Internal Medicine | 10001 S Eastern Ave Ste 108, Henderson, NV 89052 | 2006-10-11 |
| 1952872384 | Community Care Services LLC | Internal Medicine | 1155 Mill St, Reno, NV 89502-1576 | 2018-12-11 |
| 1306317730 | Community Care Services LLC | Internal Medicine | 75 Pringle Way Ste 801, Reno, NV 89502-8400 | 2018-12-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.