Organization Active NPI

QRD Health LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Las Vegas, NV
National Provider Identifier
1124590203
Registry record updated Dec 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
QRD HEALTH LLC
Practice address
9315 W Sunset Rd Ste 100
Las Vegas, NV 89148-5012
Phone
(702) 638-7705
Fax
(702) 638-7706
NPI assigned
Dec 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2018

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

Authorized official

Name
Roland Jayson F Pua, M.D.
Title
Ceo
Phone
(702) 638-7705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

9315 W Sunset Rd Ste 100
Las Vegas, NV 89148-5012

Mailing address

9315 W Sunset Rd Ste 100
Las Vegas, NV 89148-5012
Phone (702) 638-7705

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546041600000",
    "number": "1124590203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9315 W SUNSET RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485012",
            "telephone_number": "702-638-7705",
            "fax_number": "702-638-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9315 W SUNSET RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485012",
            "telephone_number": "702-638-7705",
            "fax_number": "702-638-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QRD HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-29",
        "last_updated": "2018-12-29",
        "status": "A",
        "authorized_official_last_name": "PUA",
        "authorized_official_first_name": "ROLAND JAYSON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-638-7705",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 29, 2018; 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.