FREMONT EMERGENCY SERVICES MANDAVIA LTD (NPI# 1316488141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316488141 |
| Entity Type | Organization |
| Organization Name | FREMONT EMERGENCY SERVICES MANDAVIA LTD |
| Other Organization Name | FREMONT EMERGENCY SERVICES (MANDAVIA), LTD. |
| Practice Address |
7207 Aliante Parkway North Las Vegas NV 89128-0436 |
| Mailing Address |
5000 Hopyard Rd Ste 100 Pleasanton CA 94588-3146 |
| Practice Telephone | 7029625000 |
| Mailing Telephone | 9259241600 |
| Mailing Fax Number | 9259240506 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | SHARON HARDY (DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 9252516901 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1316488141 | 05 |
| Other Name | Type Code |
|---|---|
| Fremont Emergency Services (Mandavia), Ltd. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679550149 | Fremont Emergency Services Mandavia Ltd | Physician Assistant | 9300 W Sunset Rd, Las Vegas, NV 89148-4844 | 2005-12-27 |
| 1689013161 | Fremont Emergency Services Mandavia Ltd | Emergency Medicine | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2013-06-18 |
| 1518120971 | Fremont Emergency Services Mandavia Ltd | Physician Assistant | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2008-07-07 |
| 1366429821 | Fremont Emergency Services Mandavia Ltd | Physician Assistant | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2005-12-27 |
| Street Address |
7207 ALIANTE PARKWAY |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89128-0436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477619831 | Curtis Eugene Bazemore Jr. | Emergency Medicine | 6424 Loosee Rd, Suite 100, North Las Vegas, NV 89086-0102 | 2006-12-29 |
| 1306800743 | Robert M Kile | Emergency Medicine | 4780 W Ann Rd, Suite 5-296, North Las Vegas, NV 89031-3470 | 2006-04-13 |
| 1932190683 | Stephen A. Resnick | Emergency Medicine | 1550 W Craig Rd, North Las Vegas, NV 89032-0224 | 2005-11-02 |
| 1487255089 | Vituity - Nevada Koury & Partners Pllc | Emergency Medicine | 1550 W Craig Rd, North Las Vegas, NV 89032-0327 | 2020-11-02 |
| 1073038600 | David R. Ferrell, M.d., P.C. | Emergency Medicine | 1445 W Craig Rd Ste 101, North Las Vegas, NV 89032-0211 | 2017-08-04 |
| 1356885222 | Superior Emergency Physicians Harris, Pllc | Emergency Medicine | 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 | 2016-12-13 |
| 1811296585 | Krishanthi Jayathilaka | Emergency Medicine | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2011-03-21 |
| 1376868208 | Kenneth W Adams II | Emergency Medicine | 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 | 2010-04-04 |
| 1811210941 | Advanced Care Emergency Services, Pllc | Emergency Medicine | 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 | 2010-03-03 |
| 1518139492 | Diamond Emergency Physicians | Emergency Medicine | 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 | 2008-03-31 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89128 |
Please comment or provide details below to improve the information on FREMONT EMERGENCY SERVICES MANDAVIA LTD.
| 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.