Organization Active NPI

Edward K Tsai

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1013946110
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1003119565 Issued in NV
Legal business name
EDWARD K TSAI
Practice address
7377 S Jones Blvd Ste 107
Las Vegas, NV 89139-0547
Phone
(702) 896-4433
Fax
(702) 896-4438
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Edward K Tsai, DO
Title
Owner
Phone
(702) 896-4433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 1003119565 NV Primary

Addresses

Primary practice location

7377 S Jones Blvd Ste 107
Las Vegas, NV 89139-0547

Mailing address

7377 S Jones Blvd Ste 107
Las Vegas, NV 89139-0547
Phone (702) 896-4433

Other identifiers 2

IdentifierTypeStateIssuer
100509002MedicaidNV
100509354MedicaidNV

Other names 1

  • SIERRA FAMILY MEDICINE Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D1052980Sierra Family Medicine7377 S Jones Blvd Ste 107, Las Vegas, NV 89139Certificate of waiverApr 10, 2028

National Provider Directory

National Provider Directory

Locations

7377 S Jones Blvd
Ste 107
Las Vegas, NV 89139
Phone (702) 292-0758

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1013946110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7377 S JONES BLVD STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891390547",
            "telephone_number": "702-896-4433",
            "fax_number": "702-896-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7377 S JONES BLVD STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891390547",
            "telephone_number": "702-896-4433",
            "fax_number": "702-896-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD K TSAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-896-4433",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "1003119565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509002",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509354",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIERRA FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.