NPIMap

Organization Active NPI

Wolfson Medical Center at Tenaya

  • Non-Pharmacy Dispensing Site
  • Las Vegas, NV
National Provider Identifier
1306076468
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
WOLFSON MEDICAL CENTER AT TENAYA
Practice address
2655 Box Canyon Dr
Las Vegas, NV 89128-1119
Phone
(702) 363-9900
NPI assigned
Jul 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Eric Wolfson, MDNPI 1023044773
Title
Owner
Phone
(702) 452-2526

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
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

2655 Box Canyon Dr
Las Vegas, NV 89128-1119

Mailing address

10788 Rivendell Ave
Las Vegas, NV 89135-1803
Phone (702) 363-9900

National Provider Directory

National Provider Directory
Tax ID family
Wolfson Medical Center at Tenaya2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2655 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 363-9900

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": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1306076468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10788 RIVENDELL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351803",
            "telephone_number": "702-363-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 BOX CANYON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281119",
            "telephone_number": "702-363-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFSON MEDICAL CENTER AT TENAYA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "WOLFSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-452-2526",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "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 Apr 18, 2016; 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.