Active NPI
Regents of the University of California
- Medical Oncology Physician
- Las Vegas, NV
National Provider Identifier
1053686972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- Legal business name
- REGENTS OF THE UNIVERSITY OF CALIFORNIA
- Practice address
- 1 Breakthrough Way
Las Vegas, NV 89135-3011 - Phone
- (702) 822-5433
- NPI assigned
- Mar 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mickey Goldman, FACHE
- Title
- President/Ceo
- Phone
- (702) 821-0005
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | NV | Primary | |
| Radiation Oncology Physician | 2085R0001X | NV |
Addresses
Primary practice location
1 Breakthrough Way
Las Vegas, NV 89135-3011
Mailing address
1 Breakthrough Way
Las Vegas, NV 89135-3011
Phone (702) 822-5433
Other names 1
- Nevada Cancer Institute, an affiliate of UCSD Health Systems
National Provider Directory
National Provider DirectoryLocations
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Hematology & Oncology Physician
- Las Vegas, NV
- NPI 1407121320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331251200000",
"number": "1053686972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BREAKTHROUGH WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891353011",
"telephone_number": "702-822-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BREAKTHROUGH WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891353011",
"telephone_number": "702-822-5433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-09",
"last_updated": "2012-03-09",
"status": "A",
"authorized_official_last_name": "GOLDMAN",
"authorized_official_first_name": "MICKEY",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "702-821-0005",
"authorized_official_credential": "FACHE"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": "NV",
"license": null,
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "NV",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nevada Cancer Institute, an affiliate of UCSD Health Systems",
"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 Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.