Active NPI
Jose Carlos Trejo Cardoso
- Rehabilitation Practitioner
- North Las Vegas, NV
National Provider Identifier
1083263362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 3925 N MLK Blvd
North Las Vegas, NV 89032-7673 - Phone
- (702) 461-1982
- Fax
- (702) 476-1191
- NPI assigned
- Sep 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
3925 N MLK Blvd
North Las Vegas, NV 89032-7673
Mailing address
3925 N MLK Blvd Ste 212
North Las Vegas, NV 89032-7676
Phone (702) 461-1982
Other practice location 1
3925 N L.K Blvd North Las Vegas
Las Vegas, NV 89032
Phone (702) 461-1982
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | newsolutions@cox.com | Direct |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1083263362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 N MLK BLVD STE 212",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890327676",
"telephone_number": "702-461-1982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 N MLK BLVD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890327673",
"telephone_number": "702-461-1982",
"fax_number": "702-476-1191"
}
],
"practiceLocations": [
{
"address_1": "3925 N L.K Blvd North Las Vegas",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "89032",
"country_code": "US",
"telephone_number": "702-461-1982",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TREJO CARDOSO",
"first_name": "JOSE",
"middle_name": "CARLOS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-09",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "newsolutions@cox.com",
"affiliation": "N",
"endpointDescription": "newsolutions@cox.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "702 461 1982",
"address_1": "3925 N L.K Blvd North Las Vegas",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "89032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.