NPIMap

Organization Active NPI

Advanced Medical Center

  • Internal Medicine Physician
  • Pahrump, NV
National Provider Identifier
1366597486
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
828 Issued in NV
Legal business name
ADVANCED MEDICAL CENTER
Practice address
1501 E Calvada Blvd
Pahrump, NV 89048-0000
Phone
(775) 727-5509
Fax
(775) 727-5689
NPI assigned
Jan 25, 2007
Last updated
Mar 31, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Dr. Pejman Bady, D.O.NPI 1134146111
Title
Director
Phone
(775) 727-5500

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 10841 NV
Family Medicine Physician 207Q00000X 828 NV
Internal Medicine Physician 207R00000X 11604 NV
Internal Medicine Physician 207R00000X 828 NV Primary
Pediatrics Physician 208000000X 12152 NV
Neurology Physician 2084N0400X 1325 NV

Addresses

Primary practice location

1501 E Calvada Blvd
Pahrump, NV 89048-0000

Mailing address

PO Box 6380
Pahrump, NV 89041-6380
Phone (775) 727-5500

Other identifiers 1

IdentifierTypeStateIssuer
100512049MedicaidNV

National Provider Directory

National Provider Directory
Part of
Pejman Bady DO

Practitioners & affiliated clinicians

Practitioners 1

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1366597486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6380",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890416380",
            "telephone_number": "775-727-5500",
            "fax_number": "775-727-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E CALVADA BLVD",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890480000",
            "telephone_number": "775-727-5509",
            "fax_number": "775-727-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED MEDICAL CENTER",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "BADY",
        "authorized_official_first_name": "PEJMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "775-727-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "10841",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "828",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11604",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "828",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "12152",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "1325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100512049",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.