Individual provider Active NPI

Rubin Saavedra, MD

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1043305360
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8907 Issued in NV
Practice address
1140 Almond Tree LN
Suite 306
Las Vegas, NV 89104-3233
Phone
(702) 657-3873
Fax
(702) 636-0787
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8907 NV Primary

Addresses

Primary practice location

1140 Almond Tree LN
Suite 306
Las Vegas, NV 89104-3233

Mailing address

1140 Almond Tree LN
Suite 306
Las Vegas, NV 89104-3233
Phone (702) 657-3873

Other identifiers 1

IdentifierTypeStateIssuer
002018167MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8907NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
T & R Medical Inc Family Medicine PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1043305360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 ALMOND TREE LN",
            "address_2": "SUITE 306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043233",
            "telephone_number": "702-657-3873",
            "fax_number": "702-636-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 ALMOND TREE LN",
            "address_2": "SUITE 306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043233",
            "telephone_number": "702-657-3873",
            "fax_number": "702-636-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAVEDRA",
        "first_name": "RUBIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "8907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018167",
            "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 Mar 15, 2011; 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.