NPIMap

Organization Active NPI

Clement J. Strumillo, D.O., Apc

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1346306438
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
489 Issued in NV
Legal business name
CLEMENT J. STRUMILLO, D.O., APC
Practice address
2685 S Rainbow Blvd
Suite 101
Las Vegas, NV 89146-5182
Phone
(702) 315-4600
Fax
(702) 315-4607
NPI assigned
Dec 31, 2006
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Clement J Strumillo, D.O.NPI 1659568046
Title
President
Phone
(702) 315-4600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 489 NV Primary

Addresses

Primary practice location

2685 S Rainbow Blvd
Suite 101
Las Vegas, NV 89146-5182

Mailing address

2685 S Rainbow Blvd
Suite 101
Las Vegas, NV 89146-5182
Phone (702) 315-4600

Other identifiers 2

IdentifierTypeStateIssuer
V37851OtherMEDICARE GROUP/ORGANIZATIONAL #
2019399MedicaidNV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1167523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1346306438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 S RAINBOW BLVD",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465182",
            "telephone_number": "702-315-4600",
            "fax_number": "702-315-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 S RAINBOW BLVD",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465182",
            "telephone_number": "702-315-4600",
            "fax_number": "702-315-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENT J. STRUMILLO, D.O., APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-31",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "STRUMILLO",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-315-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP/ORGANIZATIONAL #",
            "identifier": "V37851",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019399",
            "state": "NV"
        }
    ],
    "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 May 30, 2008; 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.