NPIMap

Organization Active NPI

Clark Choi MD PC

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1003292616
Registry record updated Jun 9, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CLARK CHOI MD PC
Practice address
2700 Sunset Rd
B18
Las Vegas, NV 89120
Phone
(702) 487-6510
Fax
(702) 405-7960
NPI assigned
Aug 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Clark K Choi, MD
Title
President
Phone
(702) 487-6510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X NV Primary

Addresses

Primary practice location

2700 Sunset Rd
B18
Las Vegas, NV 89120

Mailing address

PO Box 93358
Las Vegas, NV 89193-3358
Phone (702) 487-6510

Other identifiers 1

IdentifierTypeStateIssuer
15913MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1003292616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93358",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891933358",
            "telephone_number": "702-487-6510",
            "fax_number": "702-405-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SUNSET RD",
            "address_2": "B18",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89120",
            "telephone_number": "702-487-6510",
            "fax_number": "702-405-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK CHOI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-487-6510",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15913",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.