NPIMap

Organization Active NPI

Rose Family Practice LLC

  • Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1295419638
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ROSE FAMILY PRACTICE LLC
Practice address
3340 Topaz St Ste 100
Las Vegas, NV 89121-3906
Phone
(702) 738-9809
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Nirouz MisherfiNPI 1790057883
Title
Owner
Phone
(702) 971-7531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3340 Topaz St Ste 100
Las Vegas, NV 89121-3906

Mailing address

3340 Topaz St Ste 100
Las Vegas, NV 89121-3906
Phone (702) 970-7531

National Provider Directory

National Provider Directory

Locations

3340 Topaz St
Ste 100
Las Vegas, NV 89121
Phone (702) 246-2243

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": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1295419638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 TOPAZ ST STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213906",
            "telephone_number": "702-970-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 TOPAZ ST STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213906",
            "telephone_number": "702-738-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "MISHERFI",
        "authorized_official_first_name": "NIROUZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-971-7531"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 28, 2023; 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.