Fauzia Carullo MD Prof Corp

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

Legal business name

FAUZIA CARULLO MD PROF CORP

Practice address

7580 W Sahara Ave
Las Vegas, NV 89117-2742

Phone

(702) 852-2020

Fax

(702) 821-1704

NPI assigned

Jan 4, 2019

Organization subpart

No

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

Authorized official

Name

John Butler

Title

Office Manager

Phone

(702) 852-2000

Specialties & licenses 1

Addresses

Other names 1

• Las Vegas Vein Center Doing business as

Tax ID family

Fauzia Carullo MD Prof Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fauzia Carullo MD Prof Corp

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1932498318
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Fauzia Carullo MD Prof Corp

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1932498318
  NPPES parent name

Practitioners 2

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

• Fauzia Carullo, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1790818433
  NPD
• Ralph Luigi Carullo, M.D.

  • Phlebology Physician
  • Las Vegas, NV
  • NPI 1538314661
  NPD

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1174096978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172742",
            "telephone_number": "702-852-2020",
            "fax_number": "702-821-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172742",
            "telephone_number": "702-852-2020",
            "fax_number": "702-821-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAUZIA CARULLO MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-852-2000"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Vegas Vein Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Albert Fausett, D.P.M.
• Suzanne Faust, PH.D.
• Suzy L Faust, MMT
• Faustine Home Health Agency Inc
• Antonio Faustino
• Fauzia Carullo MD Prof Corp
• Lori Fava
• Johanna Favela Chaidez
• Marisol Favela Lopez
• Laura Favela Sepulveda

• Phlebology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Phlebology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.