Granite Sahara Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GRANITE SAHARA SURGICAL CENTER, LLC

Practice address

8851 W Sahara Ave Ste 100
Las Vegas, NV 89117-5865

Phone

(702) 254-1777

Fax

(702) 254-1213

NPI assigned

Jan 13, 2020

Organization subpart

No

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

Authorized official

Name

Shelley Schulte

Title

Executive Director

Phone

(702) 254-1777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1235779752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 W SAHARA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175865",
            "telephone_number": "702-254-1777",
            "fax_number": "702-254-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 W SAHARA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175865",
            "telephone_number": "702-254-1777",
            "fax_number": "702-254-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE SAHARA SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "SCHULTE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-254-1777"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Grange, APRN
• Kelsey Granger, PA
• Brandon Granil, APRN
• Nancy Granillo-Anaya
• Melizza Granillo
• Granite Surgery Center
• Diane Grano
• Irvin Shuhei Granstrom, MFT-I, CADC-I
• Kailey Jia Xin Granstrom, MFT-I
• Grant a Gift Autism Foundation

• Ambulatory Surgical Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.