Organization Active NPI

Alicore Healthcare LLC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1154078327
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALICORE HEALTHCARE LLC
Practice address
3630 N Rancho Dr Ste 108
Las Vegas, NV 89130-3111
Phone
(702) 278-1673
NPI assigned
Mar 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Ahmed Ali, MD
Title
MD/President
Phone
(702) 278-1673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3630 N Rancho Dr Ste 108
Las Vegas, NV 89130-3111

Mailing address

6720 N Hulapai Way
Ste 145 Box 230
Las Vegas, NV 89149
Phone (702) 278-1673

National Provider Directory

National Provider Directory

Locations

3630 N Rancho Dr
Ste 108
Las Vegas, NV 89130
Phone (702) 278-1673

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1154078327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 N HULAPAI WAY",
            "address_2": "STE 145 BOX 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89149",
            "telephone_number": "702-278-1673",
            "fax_number": "702-516-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 N RANCHO DR STE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303111",
            "telephone_number": "702-278-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICORE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "702-278-1673",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal 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 Mar 7, 2022; 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.