Active NPI
QRD Health LLC
- Geriatric Medicine (Internal Medicine) Physician
- Las Vegas, NV
National Provider Identifier
1124590203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 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 DirectoryNPI 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.