Organization Active NPI

Platinum Medical Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
National Provider Identifier
1255099743
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PLATINUM MEDICAL SUPPLIES, LLC
Practice address
6000 S Eastern Ave Ste 1B
Las Vegas, NV 89119-3125
Phone
(702) 476-5597
Fax
(702) 442-8797
NPI assigned
Dec 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Mrs. Leizel Trinidad Jacobsen, RT
Title
Administrator
Phone
(702) 601-8456

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

6000 S Eastern Ave Ste 1B
Las Vegas, NV 89119-3125

Mailing address

6000 S Eastern Ave # 1B
Las Vegas, NV 89119-3125
Phone (702) 476-5597

National Provider Directory

National Provider Directory

Locations

1555 E Flamingo Rd
Ste 117
Las Vegas, NV 89119
Phone (702) 476-5597

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": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1255099743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 S EASTERN AVE # 1B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193125",
            "telephone_number": "702-476-5597",
            "fax_number": "702-442-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 S EASTERN AVE STE 1B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193125",
            "telephone_number": "702-476-5597",
            "fax_number": "702-442-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "LEIZEL",
        "authorized_official_middle_name": "TRINIDAD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-601-8456",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 28, 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.