NPIMap

Organization Active NPI

Santa Rosa Medical Centers of Nevada, Inc.

  • Clinic Pharmacy
  • Las Vegas, NV
National Provider Identifier
1316679368
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
SANTA ROSA MEDICAL CENTERS OF NEVADA, INC.
Practice address
4450 E Washington Ave
Las Vegas, NV 89110-5783
Phone
(702) 720-3011
Fax
(702) 570-9921
NPI assigned
Jun 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Syed Irshad PervaizNPI 1326079096
Title
Managing Director
Phone
(702) 720-3011

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary
Home Infusion Therapy Pharmacy 3336H0001X

Addresses

Primary practice location

4450 E Washington Ave
Las Vegas, NV 89110-5783

Mailing address

4161 S Eastern Ave Ste B3
Las Vegas, NV 89119-5483
Phone (702) 720-3011

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D1029959Santa Rosa Medical Center of Nevada Inc4450 E Washington Blvd Suite 109, Las Vegas, NV 89110Certificate of waiverAug 25, 2026

National Provider Directory

National Provider Directory
Tax ID family
Santa Rosa Medical Centers of Nevada Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

4440 E Washington Ave
Las Vegas, NV 89110

4450 E Washington Ave
Las Vegas, NV 89110
Phone (702) 821-6763

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": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1316679368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 S EASTERN AVE STE B3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195483",
            "telephone_number": "702-720-3011",
            "fax_number": "702-570-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 E WASHINGTON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105783",
            "telephone_number": "702-720-3011",
            "fax_number": "702-570-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA MEDICAL CENTERS OF NEVADA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "PERVAIZ",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "IRSHAD",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "702-720-3011"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.