Organization Active NPI

Avana Plastic Surgery LLC

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1346813896
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
AVANA PLASTIC SURGERY LLC
Practice address
8930 W Sunset Rd Ste 140
Las Vegas, NV 89148-5009
Phone
(702) 703-3040
NPI assigned
Jul 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Adahlia Alcova
Title
General Manager
Phone
(702) 964-4779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

8930 W Sunset Rd Ste 140
Las Vegas, NV 89148-5009

Mailing address

8930 W Sunset Rd Ste 140
Las Vegas, NV 89148-5009
Phone (702) 964-4779

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1346813896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 W SUNSET RD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485009",
            "telephone_number": "702-964-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 W SUNSET RD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485009",
            "telephone_number": "702-703-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANA PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "ALCOVA",
        "authorized_official_first_name": "ADAHLIA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "702-964-4779"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "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 Jul 22, 2021; 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.