Active NPI
Imelda P Pimentel, MD
- Pediatrics Physician
- Las Vegas, NV
National Provider Identifier
1184723009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 8305
- Practice address
- 3630 N Rancho Dr #104
Las Vegas, NV 89130 - Phone
- (702) 212-1240
- Fax
- (702) 212-1243
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 8305 | NV | Primary |
Addresses
Primary practice location
3630 N Rancho Dr #104
Las Vegas, NV 89130
Mailing address
3630 N Rancho Dr #104
Las Vegas, NV 89130
Phone (702) 212-1240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002002814 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8305 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Center of Southern Nevada | Past | Accepting new patients | |
| Spring Valley Medical Center | Past | Accepting new patients | |
| Summerlin Hospital Medical Center L L C | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DJEHBA/Endpoint/DJEHBA
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1346230323
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831189638
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1548393127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344211200000",
"number": "1184723009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3630 N RANCHO DR #104",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89130",
"telephone_number": "702-212-1240",
"fax_number": "702-212-1243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 N RANCHO DR #104",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89130",
"telephone_number": "702-212-1240",
"fax_number": "702-212-1243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIMENTEL",
"first_name": "IMELDA",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2012-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "8305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002002814",
"state": "NV"
}
],
"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, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.