Golden Victory Medical

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GOLDEN VICTORY MEDICAL

Practice address

2870 S Maryland Pkwy Ste 200
Las Vegas, NV 89109-1580

Phone

(702) 703-1950

NPI assigned

Jul 21, 2022

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

GOLDEN VICTORY MEDICALAs reported in NPPES

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

Authorized official

Name

Elizabeth Brown, APRN

Title

Aprn/Owner

Phone

(952) 923-7256

Specialties & licenses 3

Addresses

Part of

Golden Victory Medical

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225763394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091580",
            "telephone_number": "702-703-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091580",
            "telephone_number": "702-703-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1603 W 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740745202",
            "country_code": "US",
            "telephone_number": "405-379-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDEN VICTORY MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOLDEN VICTORY MEDICAL",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "APRN/OWNER",
        "authorized_official_telephone_number": "952-923-7256",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Touch Adult Care
• Golden Touch Behavioral Care Center Prof Corp (Golden Touch Behavioral Care Center Professional Corporation)
• Golden Touch Behavioral Care LLC
• Golden Touch Home Care
• Golden Touch Mental Health Care LLC
• Golden Victory Medical
• Golden Victory Medical
• Golden Victory Medical Internal Medicine
• Golden Vista Home Health Services, Inc.
• Golden Years Personal Care LLC

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.