Active NPI
Randa Bascharon, DO, Inc
- Non-Pharmacy Dispensing Site
- Las Vegas, NV
National Provider Identifier
1386966976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- 1103
- Legal business name
- RANDA BASCHARON, DO, INC
- Practice address
- 7281 W Sahara Ave
Ste 110
Las Vegas, NV 89117-2816 - Phone
- (702) 947-7790
- NPI assigned
- Feb 23, 2010
- Organization subpart
- Yes
- Parent organization
- RANDA BASCHARON, DO, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randa Bascharon, D.O.
- Title
- Medical Director
- Phone
- (702) 947-7790
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | 1103 | NV | Primary |
Addresses
Primary practice location
7281 W Sahara Ave
Ste 110
Las Vegas, NV 89117-2816
Mailing address
2980 N Beverly Glen Cir
Ste 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809
Other names 1
- Orthopedic & Sports Medicine Institute of Las Vegas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930050037 | NV | DME Supplier - Physician - General Practice | 6204832652 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Las Vegas, NV |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Randa Bascharondo Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298937600000",
"number": "1386966976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 N BEVERLY GLEN CIR",
"address_2": "STE 301",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900771726",
"telephone_number": "310-474-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7281 W SAHARA AVE",
"address_2": "STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172816",
"telephone_number": "702-947-7790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANDA BASCHARON, DO, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RANDA BASCHARON, DO, INC",
"enumeration_date": "2010-02-23",
"last_updated": "2011-03-01",
"status": "A",
"authorized_official_last_name": "BASCHARON",
"authorized_official_first_name": "RANDA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "702-947-7790",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "NV",
"license": "1103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orthopedic & Sports Medicine Institute of Las Vegas",
"code": "3",
"type": "Doing Business As"
}
]
}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 Mar 1, 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.