Active NPI
Jose Antonio Arindaeng, MD, MPH, FACP
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1093745739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 8895
- Practice address
- 9133 W Russell Rd
Las Vegas, NV 89148-1233 - Phone
- (702) 228-1308
- NPI assigned
- Jul 4, 2006
- Last updated
- Nov 13, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 8895 | NV | Primary |
Addresses
Primary practice location
9133 W Russell Rd
Las Vegas, NV 89148-1233
Mailing address
9133 W Russell Rd
Las Vegas, NV 89148-1233
Phone (702) 228-1308
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8895 | NV | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1093745739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9133 W RUSSELL RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891481233",
"telephone_number": "702-228-1308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9133 W RUSSELL RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891481233",
"telephone_number": "702-228-1308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARINDAENG",
"first_name": "JOSE",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "MD, MPH, FACP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "8895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.