Organization Active NPI

Advanced Cardiovascular Specialists

  • Cardiovascular Disease Physician
  • Las Vegas, NV
National Provider Identifier
1396936662
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
6114 Issued in NV
Legal business name
ADVANCED CARDIOVASCULAR SPECIALISTS
Doing business as
Advanced Cardiovascular Specialists
Practice address
3201 South Maryland Parkway
Suite 502
Las Vegas, NV 89109
Phone
(702) 733-8600
Fax
(702) 733-0374
NPI assigned
Aug 5, 2007
Last updated
Jan 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
Carlos E Fonte, M.D.NPI 1215979604
Title
Owner
Phone
(702) 733-8600

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Cardiovascular Disease Physician 207RC0000X 6114 NV Primary

Addresses

Primary practice location

3201 South Maryland Parkway
Suite 502
Las Vegas, NV 89109

Mailing address

3201 South Maryland Parkway
Suite 502
Las Vegas, NV 89109
Phone (702) 733-8600

Other names 1

  • Advanced Cardiovascular Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040525001095 NV Part B Supplier - Clinic/Group Practice 3375524515 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

3201 S Maryland Pkwy
Ste 502
Las Vegas, NV 89109
Phone (702) 733-8600

9940 W Flamingo Rd
Ste 100
Las Vegas, NV 89147
Phone (702) 240-8111

Practitioners & affiliated clinicians

Practitioners 3

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1396936662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 SOUTH MARYLAND PARKWAY",
            "address_2": "SUITE 502",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89109",
            "telephone_number": "702-733-8600",
            "fax_number": "702-733-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 SOUTH MARYLAND PARKWAY",
            "address_2": "SUITE 502",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89109",
            "telephone_number": "702-733-8600",
            "fax_number": "702-733-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIOVASCULAR SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "FONTE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-733-8600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "6114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Cardiovascular Specialists",
            "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 Jan 6, 2015; 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.

Verify at the official NPI Registry.