GUADALUPE MEDICAL CENTER/OKAMOTO MD PC


Address: 1219 E Charleston Blvd, Las Vegas, NV 89104-1708
Phone: 7026335410

GUADALUPE MEDICAL CENTER/OKAMOTO MD PC (NPI# 1598703506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598703506
Entity Type Organization
Organization Name GUADALUPE MEDICAL CENTER/OKAMOTO MD PC
Other Organization Name GUADALUPE MEDICAL CENTER
Practice Address 1219 E Charleston Blvd
Las Vegas
NV 89104-1708
Practice Telephone 7026335410
Practice Fax Number 7023201639
Mailing Telephone 7026335410
Mailing Fax Number 7023201639
Enumeration Date 2006-06-02
Last Update Date 2017-05-10
Authorized Official Name SANDRA ALDANA (ADMINISTRATOR)
Authorized Official Telephone 7026335410
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV 100500942 05

Other Provider/Organization Names

Other Name Type Code
Guadalupe Medical Center Doing Business As Name - Organization

Office Location

Street Address 1219 E CHARLESTON BLVD
City LAS VEGAS
State NV
Zip Code 89104-1708

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679846737 Francisco Antonio Barros Corpuz Registered Nurse 1219 E Charleston Blvd, Las Vegas, NV 89104-1708 2012-02-20
1205842796 Davis Co Chu Pediatrics 1219 E Charleston Blvd, Las Vegas, NV 89104-1708 2006-08-01
1821036385 Fabio Savorgnan Pediatrics 1219 E Charleston Blvd, Las Vegas, NV 89104-1708 2006-06-04
1588602619 Consuelo Corrales Pediatrics 1219 E Charleston Blvd, Las Vegas, NV 89104-1708 2006-06-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316550635 Comfort Care Senior Services LLC In Home Supportive Care 1601 S Sandhill Rd, 62, Las Vegas, NV 89104 2020-08-26
1508484734 Accessible Space Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1405 South Mojave Rd, Las Vegas, NV 89104 2020-07-14
1003448333 Shirley Lauren Valenzona-gianan Pharmacist Smith's Pharmacy #318, 4965 East Sahara Avenue, Las Vegas, NV 89104 2020-02-05
1427602713 Alma Lucia Lozano-vargas Chore Provider 1785 E. Sahara Ave. Suite 485, Las Vegas, NV 89104 2019-07-25
1396398947 Martinez Antuan Coates Psychologist 1755 Palm St Bld T Apt147, Las Vegas, NV 89104 2019-07-23
1982171518 Ian Sande Occupational Therapist 1500 West Warm Springs Rd, Las Vegas, NV 89104 2018-11-01
1215436563 A Better Life In Home Care, LLC Technician 1810 East Sahara Avenue, Suite 216, Las Vegas, NV 89104 2018-02-01
1891202016 Nevada Helping Hands LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1810 E Sahara Ave Ste 143, Las Vegas, NV 89104 2018-01-09
1760901581 Fannie Bell Counselor 1800 E. Sahara Suite 104, Las Vegas, NV 89104 2017-09-13
1386162147 Jaclyn Mustachio Social Worker 1860 E Sahara Ave, Las Vegas, NV 89104 2017-08-31
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1780281451 Korn Health Solutions, Pllc General Practice 8530 W Sunset Rd Ste 305, Las Vegas, NV 89113-2215 2020-10-06
1740898253 Cano Health Nevada Pllc General Practice 3265 E Tropicana Ave, Las Vegas, NV 89121-7386 2020-07-21
1225530553 Real Time Physicians, LLC General Practice 3855 W Diablo Dr Ste 2, Las Vegas, NV 89118-2343 2018-03-02
1063847317 Mh Health Care Services, PC General Practice 7135 W Sahara Ave Ste 100, C/o Laborers Health Center, Las Vegas, NV 89117-2828 2013-09-05
1386078582 Richard F Russell General Practice 2221 S Tioga Way, Las Vegas, NV 89117-2735 2013-08-25
1790125862 Ihawa General Practice 1504 Couples St, Las Vegas, NV 89128-2155 2013-07-03
1154768620 Francisco Martinez Villanueva General Practice 8652 Grandbank Dr, Las Vegas, NV 89145-4813 2013-05-23
1588900716 Dean Grant Peterson General Practice 3021 Waterside Cir, Las Vegas, NV 89117-2277 2012-12-15
1205182292 Integrated Medical Group Inc General Practice 3230 S Buffalo Dr Ste 105, Las Vegas, NV 89117-2506 2012-07-27
1083970248 Sebastian Balle General Practice 6670 Palmyra Ave, Las Vegas, NV 89146-6539 2012-04-02
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Competitor

Search similar providers

City LAS VEGAS
Zip Code 89104

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Dataset Information

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.

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