Summerlin Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SUMMERLIN MEDICAL

Practice address

10300 W. Charleston Blvd.
Suite 13
Las Vegas, NV 89135

Phone

(773) 495-3796

Fax

(888) 775-0887

NPI assigned

Feb 28, 2020

Last updated

Feb 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gustavo UrbinaNPI 1497291116

Title

Owner

Phone

(773) 495-3796

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gustavo Urbina

  • Durable Medical Equipment & Medical Supplies
  • Kenosha, WI
  • NPI 1497291116
  Authorized official Same address or phone

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1033743083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 W. CHARLESTON BLVD.",
            "address_2": "SUITE 13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89135",
            "telephone_number": "773-495-3796",
            "fax_number": "888-775-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 W. CHARLESTON BLVD.",
            "address_2": "SUITE 13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89135",
            "telephone_number": "773-495-3796",
            "fax_number": "888-775-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERLIN MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "URBINA",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-495-3796",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summerlin Hospital Medical Center L L C
• Summerlin Hospital Medical Center L L C (Summerlin Hospital Medical Center)
• Summerlin Hospital Medical Center L L C (Summerlin Hospital Medical Center)
• Summerlin Hospital Medical Center L L C (ER at South Summerlin, Extension of Summerlin Hospital)
• Summerlin Massagenv, LLC
• Summerlin Pelvic and Physical Therapy LLC
• Summerlin Psychology LLC
• Summerlin Smiles
• Summerlin Surgical Associates
• Summerlin Therapy & Couples Counseling

• Durable Medical Equipment & Medical Supplies in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.