Active NPI
Premier Medical LLC
- Family Medicine Physician
- Henderson, NV
National Provider Identifier
1306369442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11791
- Legal business name
- PREMIER MEDICAL LLC
- Practice address
- 3001 Saint Rose Pkwy
Henderson, NV 89052-3839 - Phone
- (702) 453-3799
- Fax
- (702) 453-5741
- NPI assigned
- Jul 20, 2017
- 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
- Anant K Sonpatki, M.D.
- Title
- Owner / Provider
- Phone
- (503) 449-8752
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11791 | NV | Primary |
Addresses
Primary practice location
3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Mailing address
2660 Crimson Canyon Dr Ste 130
Las Vegas, NV 89128-0846
Phone (702) 453-3799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
102 E Lake Mead Pkwy
Fl 3
Henderson, NV 89015
Phone (702) 784-4300
1285 E Cactus Ave
Las Vegas, NV 89183
Phone (702) 637-9065
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Henderson, NV
- NPI 1407877343
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1407276272
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1346684982
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1538381058
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1649269606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522454400000",
"number": "1306369442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2660 CRIMSON CANYON DR STE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280846",
"telephone_number": "702-453-3799",
"fax_number": "702-453-5741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 SAINT ROSE PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523839",
"telephone_number": "702-453-3799",
"fax_number": "702-453-5741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-20",
"last_updated": "2018-03-31",
"status": "A",
"authorized_official_last_name": "SONPATKI",
"authorized_official_first_name": "ANANT",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER / PROVIDER",
"authorized_official_telephone_number": "503-449-8752",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NV",
"license": "11791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2018; 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.