Active NPI
Maria Corazon O. Regalado LLC
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1275714719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 8966
- Legal business name
- MARIA CORAZON O. REGALADO LLC
- Practice address
- 3750 S Jones Blvd
Suite 110
Las Vegas, NV 89103-2208 - Phone
- (702) 876-0350
- Fax
- (702) 847-7437
- NPI assigned
- Nov 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maria Corazon Regalado, MD
- Title
- Doctor
- Phone
- (702) 876-0350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 8966 | NV | Primary |
Addresses
Primary practice location
3750 S Jones Blvd
Suite 110
Las Vegas, NV 89103-2208
Mailing address
7251 Birkland CT
Las Vegas, NV 89117-3167
Phone (702) 876-0350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002018265 | Medicaid | NV |
National Provider Directory
National Provider DirectoryLocations
4580 S Eastern Ave
Ste D31
Las Vegas, NV 89119
Phone (702) 862-8706
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1669420402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359676800000",
"number": "1275714719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7251 BIRKLAND CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891173167",
"telephone_number": "702-876-0350",
"fax_number": "702-876-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 S JONES BLVD",
"address_2": "SUITE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891032208",
"telephone_number": "702-876-0350",
"fax_number": "702-847-7437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIA CORAZON O. REGALADO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-26",
"last_updated": "2013-02-01",
"status": "A",
"authorized_official_last_name": "REGALADO",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "CORAZON",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "702-876-0350",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NV",
"license": "8966",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002018265",
"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 Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.