Individual provider Active NPI

Arlene Bumbaca, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1386796712
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5011 Issued in NV
Practice address
2700 E Sunset Rd Ste D-34
Las Vegas, NV 89120-3506
Phone
(702) 736-2021
Fax
(702) 795-1084
NPI assigned
Jan 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5011 NV Primary

Addresses

Primary practice location

2700 E Sunset Rd Ste D-34
Las Vegas, NV 89120-3506

Mailing address

2700 E Sunset Rd Ste D-34
Las Vegas, NV 89120-3506
Phone (702) 736-2021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927001354 NV Practitioner - Internal Medicine 9335174515 Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386796712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E SUNSET RD STE D-34",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203506",
            "telephone_number": "702-736-2021",
            "fax_number": "702-795-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E SUNSET RD STE D-34",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203506",
            "telephone_number": "702-736-2021",
            "fax_number": "702-795-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMBACA",
        "first_name": "ARLENE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "5011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.