Active NPI
Stein Medical Group PC
- Dermatology Physician
- Las Vegas, NV
National Provider Identifier
1144992785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- STEIN MEDICAL GROUP PC
- Practice address
- 7395 S Pecos Rd Ste 101
Las Vegas, NV 89120-3714 - Phone
- (702) 847-6555
- Fax
- (702) 847-6428
- NPI assigned
- Oct 1, 2021
- 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
- Mija Sung
- Title
- Office Manager/Administrator
- Phone
- (858) 774-7287
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| Hematology & Oncology Physician | 207RH0003X |
Addresses
Primary practice location
7395 S Pecos Rd Ste 101
Las Vegas, NV 89120-3714
Mailing address
7204 Shoreline Dr Unit 160
San Diego, CA 92122-4928
Phone (858) 774-7287
Other names 1
- UNIVERSITY DERMATOLOGY & SKIN SURGERY
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Las Vegas, NV
- NPI 1356326722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633046400000",
"number": "1144992785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7204 SHORELINE DR UNIT 160",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921224928",
"telephone_number": "858-774-7287",
"fax_number": "702-847-6428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7395 S PECOS RD STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203714",
"telephone_number": "702-847-6555",
"fax_number": "702-847-6428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEIN MEDICAL GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-01",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A",
"authorized_official_last_name": "SUNG",
"authorized_official_first_name": "MIJA",
"authorized_official_title_or_position": "OFFICE MANAGER/ADMINISTRATOR",
"authorized_official_telephone_number": "858-774-7287"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UNIVERSITY DERMATOLOGY & SKIN SURGERY",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.