Active NPI
University of NV School of Medicine Multi Specialty Group Practice So.
- Family Medicine Physician
- Las Vegas, NV
National Provider Identifier
1164555736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO.
- Practice address
- 2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128-9016 - Phone
- (702) 992-6888
- Fax
- (702) 992-6880
- NPI assigned
- Mar 13, 2007
- 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
- Dr. William A. Zamboni, MD
- Title
- Vice Dean
- Phone
- (702) 671-2278
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Registered Dietitian | 133V00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Sports Medicine (Family Medicine) Physician | 207QS0010X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128-9016
Mailing address
PO Box 98528
Dept 401
Las Vegas, NV 89193-8528
Phone (702) 671-2395
Other names 1
- MedSchool Associates South
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196899200000",
"number": "1164555736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98528",
"address_2": "DEPT 401",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891938528",
"telephone_number": "702-671-2395",
"fax_number": "702-382-5388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 FIRE MESA ST",
"address_2": "STE 180",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891289016",
"telephone_number": "702-992-6888",
"fax_number": "702-992-6880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2007-12-06",
"status": "A",
"authorized_official_last_name": "ZAMBONI",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "VICE DEAN",
"authorized_official_telephone_number": "702-671-2278",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MedSchool Associates South",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
- University of NV School of Medicine Multi Specialty Group Practice So
- University of NV School of Medicine Multi Specialty Group Practice So
- University of NV School of Medicine Multi Specialty Group Practice So
- University of NV School of Medicine Multi Specialty Group Practice So
- University of NV School of Medicine Multi Specialty Group Practice So
- University of NV School of Medicine Multi Specialty Group Practice So.
- University of NV School of Medicine Multi Specialty Group Practice So.
- University of NV School of Medicine Multi-Specialty Group Practice So
- University of NV School of Medicine Multi-Specialty Group South
- University of NV School of Medicine Mutli Specialty Group Practice So
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.