Organization Active NPI

Cesar a Estela M D a Professional Corp

  • Physical Medicine & Rehabilitation Physician
  • Henderson, NV
National Provider Identifier
1164515136
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
9610 Issued in NV
Legal business name
CESAR A ESTELA M D A PROFESSIONAL CORP
Practice address
1399 Galleria Dr
Suite 100
Henderson, NV 89014-6663
Phone
(702) 697-0020
Fax
(702) 697-0090
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Dr. Cesar A Estela, M D
Title
President
Phone
(702) 697-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 9610 NV Primary

Addresses

Primary practice location

1399 Galleria Dr
Suite 100
Henderson, NV 89014-6663

Mailing address

1399 Galleria Dr
Suite 100
Henderson, NV 89014-6663
Phone (702) 697-0020

National Provider Directory

National Provider Directory

Locations

1399 Galleria Dr
Ste 100
Henderson, NV 89014
Phone (702) 697-0020

4275 Burnham Ave
Ste 250
Las Vegas, NV 89119
Phone (702) 697-0020

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1164515136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 GALLERIA DR",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146663",
            "telephone_number": "702-697-0020",
            "fax_number": "702-697-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 GALLERIA DR",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146663",
            "telephone_number": "702-697-0020",
            "fax_number": "702-697-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CESAR A ESTELA M D A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "ESTELA",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-697-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "9610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.