Organization Active NPI

Sadeghi Medical Services LTD

  • Sports Medicine (Emergency Medicine) Physician
  • Las Vegas, NV
National Provider Identifier
1003415654
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
Legal business name
SADEGHI MEDICAL SERVICES LTD
Practice address
6771 W Charleston Blvd Ste B
Las Vegas, NV 89146-9016
Phone
(973) 330-2722
Fax
(702) 988-5154
NPI assigned
Oct 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Nick Sadeghi, MDNPI 1467536854
Title
Owner
Phone
(973) 330-2722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PS0010X Primary

Addresses

Primary practice location

6771 W Charleston Blvd Ste B
Las Vegas, NV 89146-9016

Mailing address

3622 Calico Cove CT
Las Vegas, NV 89147-6801
Phone (973) 330-2722

Other identifiers 1

IdentifierTypeStateIssuer
1467536854MedicaidNV

National Provider Directory

National Provider Directory

Locations

6771 W Charleston Blvd
Ste B
Las Vegas, NV 89146
Phone (702) 778-4332

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1003415654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 CALICO COVE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476801",
            "telephone_number": "973-330-2722",
            "fax_number": "702-988-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6771 W CHARLESTON BLVD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891469016",
            "telephone_number": "973-330-2722",
            "fax_number": "702-988-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADEGHI MEDICAL SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "SADEGHI",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-330-2722",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467536854",
            "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 Oct 23, 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.