NPIMap

Organization Active NPI

Western Critical Care Associates

  • Critical Care Medicine (Internal Medicine) Physician
  • Las Vegas, NV
National Provider Identifier
1316173891
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
WESTERN CRITICAL CARE ASSOCIATES
Doing business as
Western Critical Care Associates
Practice address
10300 W Charleston Blvd Ste 13-342
Las Vegas, NV 89135-1037
Phone
(702) 233-9222
Fax
(702) 804-1349
NPI assigned
Jun 10, 2009
Last updated
Mar 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Wilson T Watanabe, MDNPI 1891768388
Title
President
Phone
(702) 233-9222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU Primary
Hospitalist Physician 208M00000X NU

Addresses

Primary practice location

10300 W Charleston Blvd Ste 13-342
Las Vegas, NV 89135-1037

Mailing address

PO Box 371353
Las Vegas, NV 89137-1353
Phone (702) 233-9222

Other names 1

  • WESTERN CRITICAL CARE ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Locations

10300 W Charleston Blvd
Ste 13342
Las Vegas, NV 89135
Phone (702) 233-9222

Practitioners & affiliated clinicians

Practitioners 5

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": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1316173891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371353",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891371353",
            "telephone_number": "702-233-9222",
            "fax_number": "702-685-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 W CHARLESTON BLVD STE 13-342",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351037",
            "telephone_number": "702-233-9222",
            "fax_number": "702-804-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CRITICAL CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "WATANABE",
        "authorized_official_first_name": "WILSON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-233-9222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTERN CRITICAL CARE ASSOCIATES",
            "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 Mar 17, 2014; 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.