Active NPI
Alex del Rosario MD PC
- Psychiatry Physician
- Las Vegas, NV
National Provider Identifier
1376836080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 10057
- Legal business name
- ALEX DEL ROSARIO MD PC
- Practice address
- 5440 W Sahara Ave
Suite 202
Las Vegas, NV 89146-0355 - Phone
- (702) 380-8200
- Fax
- (702) 380-3220
- NPI assigned
- May 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alex Del Rosario, MD
- Title
- President
- Phone
- (702) 380-8200
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 10057 | NV | Primary |
Addresses
Primary practice location
5440 W Sahara Ave
Suite 202
Las Vegas, NV 89146-0355
Mailing address
5440 W Sahara Ave
Suite 202
Las Vegas, NV 89146-0355
Phone (702) 380-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110919000581 | NV | Part B Supplier - Clinic/Group Practice | 2466623715 |
Receives reassigned benefits from 1 practitioner Practice locations: Las Vegas, NV |
National Provider Directory
National Provider DirectoryLocations
6965 W Charleston Blvd
Ste 110
Las Vegas, NV 89117
Phone (702) 463-4377
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": "1306454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306454400000",
"number": "1376836080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5440 W SAHARA AVE",
"address_2": "SUITE 202",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460355",
"telephone_number": "702-380-8200",
"fax_number": "702-380-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5440 W SAHARA AVE",
"address_2": "SUITE 202",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460355",
"telephone_number": "702-380-8200",
"fax_number": "702-380-3220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEX DEL ROSARIO MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-27",
"last_updated": "2011-05-27",
"status": "A",
"authorized_official_last_name": "DEL ROSARIO",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-380-8200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NV",
"license": "10057",
"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 May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.