Organization Active NPI

Sady Medical Enterprises, Inc.

  • Medical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1184676728
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
576 Issued in NV
Legal business name
SADY MEDICAL ENTERPRISES, INC.
Practice address
4161 S Eastern Ave
Las Vegas, NV 89119-5484
Phone
(702) 693-6222
Fax
(702) 369-6504
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Brian C Sady, PA-CNPI 1942253307
Title
Physician'S Assistant
Phone
(702) 693-6222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 576 NV Primary

Addresses

Primary practice location

4161 S Eastern Ave
Las Vegas, NV 89119-5484

Mailing address

4161 S Eastern Ave
Las Vegas, NV 89119-5483
Phone (702) 693-6222

Other names 1

  • Santa Rosa Medical Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D1022978Santa Rosa Medical Centre Inc4161 S Eastern Ave Ste B3, Las Vegas, NV 89119Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

Locations

4161 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 693-6222

4161 S Eastern Ave
Ste B3
Las Vegas, NV 89119
Phone (702) 693-5891

Practitioners & affiliated clinicians

Practitioners 1

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": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184676728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195483",
            "telephone_number": "702-693-6222",
            "fax_number": "702-369-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195484",
            "telephone_number": "702-693-6222",
            "fax_number": "702-369-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADY MEDICAL ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SADY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN'S ASSISTANT",
        "authorized_official_telephone_number": "702-693-6222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Rosa Medical Center",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.