NPIMap

Organization Active NPI

Firstmed of Southern Nevada LLC

  • Urgent Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1164629804
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
1006439285 Issued in NV
Legal business name
FIRSTMED OF SOUTHERN NEVADA LLC
Practice address
3343 S Eastern Ave
Las Vegas, NV 89109-3312
Phone
(702) 474-2460
Fax
(702) 474-7529
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Dr. Emelina Bartolome Quisumbing, M.D.
Title
Member
Phone
(702) 474-2460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 1006439285 NV Primary

Addresses

Primary practice location

3343 S Eastern Ave
Las Vegas, NV 89109-3312

Mailing address

825 S 7TH St
Las Vegas, NV 89101-6909
Phone (702) 474-2460

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1164629804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S 7TH ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016909",
            "telephone_number": "702-474-2460",
            "fax_number": "702-474-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891093312",
            "telephone_number": "702-474-2460",
            "fax_number": "702-474-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTMED OF SOUTHERN NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "QUISUMBING",
        "authorized_official_first_name": "EMELINA",
        "authorized_official_middle_name": "BARTOLOME",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-474-2460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NV",
            "license": "1006439285",
            "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 Aug 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.

Verify at the official NPI Registry.