Organization Active NPI

Maria Corazon O. Regalado LLC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1275714719
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8966 Issued in NV
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

Updated by the provider on Feb 1, 2013

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
002018265MedicaidNV

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.