Popular Medical Consultant Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

6939 Issued in NV

Legal business name

POPULAR MEDICAL CONSULTANT CORP

Practice address

1301 Maryland Parkway
Las Vegas, NV 89104

Phone

(702) 458-3800

Fax

(702) 642-5671

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Javier Katsumi Kamisato, M.D.NPI 1902943434

Title

Medical Director

Phone

(702) 458-3800

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Javier Kamisato, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1902943434
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1114119351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MARYLAND PARKWAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89104",
            "telephone_number": "702-458-3800",
            "fax_number": "702-642-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MARYLAND PARKWAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89104",
            "telephone_number": "702-458-3800",
            "fax_number": "702-642-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPULAR MEDICAL CONSULTANT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "KAMISATO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "KATSUMI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-458-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "NV",
            "license": "6939",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "6939",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "6939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019754",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleanor P. Popovich
• Gabrielle Marie Popovich
• Samantha Popovich, FNP
• Andrew Popp
• Brian Poppe
• Brent Poradish, CADC
• Phyllis Griffin Porcaro
• Cesar Porcayo Morales
• Porch Light LLC
• Jose Guadalupe Porch

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.