Organization Active NPI

Neri M. Blanco, MD, Inc

Doing business as doctors office

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1275714990
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
10819 Issued in NV
Legal business name
NERI M. BLANCO, MD, INC
Doing business as
doctors office
Practice address
4441 S Eastern Ave
Las Vegas, NV 89119-7826
Phone
(702) 240-6374
Fax
(702) 453-6374
NPI assigned
Nov 21, 2007
Last updated
Jul 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Authorized official

Name
Dr. Neri Maria Blanco, MD
Title
MD
Phone
(702) 240-6374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 10819 NV Primary

Addresses

Primary practice location

4441 S Eastern Ave
Las Vegas, NV 89119-7826

Mailing address

4441 S Eastern Ave
Las Vegas, NV 89119-7826
Phone (702) 240-6374

Other identifiers 2

IdentifierTypeStateIssuer
1275714990OtherNVNPI GROUP
1275714990OtherNPI GROUP

Other names 1

  • doctors office Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060426000126 NV Part B Supplier - Clinic/Group Practice 7315957024 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1275714990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197826",
            "telephone_number": "702-240-6374",
            "fax_number": "702-453-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197826",
            "telephone_number": "702-240-6374",
            "fax_number": "702-453-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NERI M. BLANCO, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "NERI",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "702-240-6374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "10819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1275714990",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1275714990",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "doctors office",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "doctors office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.