Active NPI
VA
- Adult Mental Health Clinic/Center
- Las Vegas, NV
National Provider Identifier
1073523221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 5494
- Legal business name
- VA
- Practice address
- 916 W. Owens Ave. Las Vegas NV 89036
Las Vegas, NV 89117 - Phone
- (702) 636-3000
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 14, 2008
- 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
- Prof. Mojtaba R Motlagh, MD
- Title
- Psychiatist
- Phone
- 70263630000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 5494 | NV | Primary |
Addresses
Primary practice location
916 W. Owens Ave. Las Vegas NV 89036
Las Vegas, NV 89117
Mailing address
2131 Americas Cup Cir
Las Vegas, NV 89117-1925
Phone (702) 324-5084
Other names 1
- VA Southern Nevada Health Care System
National Provider Directory
National Provider DirectoryLocations
916 W Owens Ave
#89036
Las Vegas, NV 89106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215993600000",
"number": "1073523221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 AMERICAS CUP CIR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891171925",
"telephone_number": "702-324-5084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 W. OWENS AVE. LAS VEGAS NV 89036",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89117",
"telephone_number": "702-636-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2008-07-14",
"status": "A",
"authorized_official_last_name": "MOTLAGH",
"authorized_official_first_name": "MOJTABA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PSYCHIATIST",
"authorized_official_telephone_number": "70263630000",
"authorized_official_name_prefix": "Prof.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NV",
"license": "5494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "VA Southern Nevada Health Care System",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.