Pacific West Urology LLC, a Professional Medical Company

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

PACIFIC WEST UROLOGY LLC, A PROFESSIONAL MEDICAL COMPANY

Doing business as

Pacific West Urology

Practice address

4425 S Pecos Rd Ste 3
Las Vegas, NV 89121-5039

Phone

(725) 225-5575

Fax

(833) 941-2450

NPI assigned

Feb 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Joel Abbott, DONPI 1720213101

Title

Owner/Physician

Phone

(702) 715-4155

Specialties & licenses 1

Addresses

Other names 1

• Pacific West Urology Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel Emmanuel Abbott, D.O.

  • Urology Physician
  • Las Vegas, NV
  • NPI 1720213101
  NPD (past) Authorized official

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1114782596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 S PECOS RD STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215039",
            "telephone_number": "725-225-5575",
            "fax_number": "833-941-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 S PECOS RD STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215039",
            "telephone_number": "725-225-5575",
            "fax_number": "833-941-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC WEST UROLOGY LLC, A PROFESSIONAL MEDICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "702-715-4155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific West Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacific Home Health Care Inc
• Pacific Home Health Care Inc
• Pacific Pedorthic Services (Pro Comfort Medical)
• Pacific West Medical Group LLC
• Pacific West Urology LLC a Professional Medical Company
• Pacific West Urology LLC, a Professional Medical Company (Joel Abbott DO)
• Pacifica Healthcare Providers LLC (CiTi MD)
• Pacifica Healthcare Providers LLC (CiTi MD)
• Pacifica Sagebrush LLC (Pacifica Senior Living San Martin)
• Pacifica Spring Valley LLC (Pacifica Senior Living Spring Valley)

• Non-Pharmacy Dispensing Site in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Non-Pharmacy Dispensing Site in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.