Active NPI
Eduardo Padlan Acosta, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Las Vegas, NV
National Provider Identifier
1194732875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 7702
- Practice address
- 4230 Burnham Ave
Associated Pathologists, Chartered
Las Vegas, NV 89119-5408 - Phone
- (702) 733-7866
- Fax
- (702) 792-1319
- NPI assigned
- Aug 2, 2006
- Last updated
- Mar 18, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 7702 | NV | Primary |
Addresses
Primary practice location
4230 Burnham Ave
Associated Pathologists, Chartered
Las Vegas, NV 89119-5408
Mailing address
4230 Burnham Ave
Associated Pathologists, Chartered
Las Vegas, NV 89119-5408
Phone (702) 733-7866
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7702 | Other | NV | MEDICAL LICENSE |
| 200290418 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quest Diagnostics Incorporated | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Medical Laboratory
- Las Vegas, NV
- NPI 1043256886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1194732875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4230 BURNHAM AVE",
"address_2": "ASSOCIATED PATHOLOGISTS, CHARTERED",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195408",
"telephone_number": "702-733-7866",
"fax_number": "702-792-1319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 BURNHAM AVE",
"address_2": "ASSOCIATED PATHOLOGISTS, CHARTERED",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195408",
"telephone_number": "702-733-7866",
"fax_number": "702-792-1319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "EDUARDO",
"middle_name": "PADLAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NV",
"license": "7702",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "7702",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200290418",
"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 Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.