Active NPI
Randa Bascharon, DO, Inc
Doing business as Orthopedic & Sports Medicine Institute of Las Vegas
- Non-Pharmacy Dispensing Site
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- 1103
- Legal business name
- RANDA BASCHARON, DO, INC
- Doing business as
- Orthopedic & Sports Medicine Institute of Las Vegas
- Practice address
- 7281 W Sahara Ave
Ste 110
Las Vegas, NV 89117-2816 - Phone
- (702) 947-7790
- NPI assigned
- Feb 23, 2010
- Last updated
- Mar 1, 2011
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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.
-
dba Orthopedic & Sports Medicine Institute of Las Vegas
- Orthopaedic Surgery Physician
- Las Vegas, NV
- NPI 1114961539
O20100930050037
National Provider Directory
National Provider Directory- Part of
- Randa Bascharondo Inc
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.
-
- Orthopaedic Surgery Physician
- Las Vegas, NV
- NPI 1205883642
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
- Rancho Internal Medicine Group PC
- Maricruz Rand
- Shioban Rand
- Randa Bascharon D.O., Inc (Orthopedic & Sports Medicine Institute of Las Vegas)
- Randa Bascharon D.O., Inc (Orthopedic & Sports Medicine Institute of Las Vegas)
- Randa Bascharon,D.O. Inc (Orthopedic & Sports Medicine Institute of Las Vegas)
- Carol Randall
- Evonne Randall
- Khanta Randall
- Peter Raymond Randall, DC
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.