NPIMap

Organization Active NPI

Randa Bascharon D.O., Inc

Doing business as Orthopedic & Sports Medicine Institute of Las Vegas

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1174564009
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
1103 Issued in NV
Legal business name
RANDA BASCHARON D.O., INC
Doing business as
Orthopedic & Sports Medicine Institute of Las Vegas
Practice address
6850 N Durango Dr
#218
Las Vegas, NV 89149-4595
Phone
(702) 947-7790
Fax
(702) 947-7792
NPI assigned
Jun 10, 2006
Last updated
Feb 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Randa Amin Bascharon, DONPI 1205883642
Title
Owner Pres Sec Etc
Phone
(702) 596-0036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 1103 NV Primary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 20A8358 CA
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X 1103 NV
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X 20A8358 CA

Addresses

Primary practice location

6850 N Durango Dr
#218
Las Vegas, NV 89149-4595

Mailing address

4132 S Rainbow Blvd
#393
Las Vegas, NV 89103-3106
Phone (702) 596-0036

Other names 1

  • ORTHOPEDIC & SPORTS MEDICINE INSTITUTE OF LAS VEGAS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1174564009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 S RAINBOW BLVD",
            "address_2": "#393",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033106",
            "telephone_number": "702-596-0036",
            "fax_number": "702-947-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR",
            "address_2": "#218",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494595",
            "telephone_number": "702-947-7790",
            "fax_number": "702-947-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDA BASCHARON D.O., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "BASCHARON",
        "authorized_official_first_name": "RANDA",
        "authorized_official_middle_name": "AMIN",
        "authorized_official_title_or_position": "OWNER PRES SEC ETC",
        "authorized_official_telephone_number": "702-596-0036",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "1103",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A8358",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NV",
            "license": "1103",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "20A8358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORTHOPEDIC & SPORTS MEDICINE INSTITUTE OF LAS VEGAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 18, 2010; 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.