Active NPI
Regents of the University of California
Doing business as Nevada Cancer Institute, an affiliate of UCSD
- Hematology & Oncology Physician
- Las Vegas, NV
National Provider Identifier
1407121320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- REGENTS OF THE UNIVERSITY OF CALIFORNIA
- Doing business as
- Nevada Cancer Institute, an affiliate of UCSD
- Practice address
- 1800 W Charleston Blvd
Las Vegas, NV 89102-2329 - Phone
- (702) 822-5433
- Fax
- (702) 944-0453
- NPI assigned
- Mar 9, 2012
- Last updated
- Mar 9, 2012
- Organization subpart
- Yes
- Parent organization
- REGENTS OF THE UNIVERSITY OF CALIFORNIA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mickey Goldman, FACHE
- Title
- President/Ceo
- Phone
- (702) 821-0005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | NV | Primary |
Addresses
Primary practice location
1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Mailing address
1 Breakthrough Way
Las Vegas, NV 89135-3011
Phone (702) 822-5433
Other names 1
- Nevada Cancer Institute, an affiliate of UCSD
National Provider Directory
National Provider Directory- Part of
- Regents of the University of California
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Nevada Cancer Institute, an affiliate of UCSD Health Systems
- Medical Oncology Physician
- Las Vegas, NV
- NPI 1053686972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331251200000",
"number": "1407121320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BREAKTHROUGH WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891353011",
"telephone_number": "702-822-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022329",
"telephone_number": "702-822-5433",
"fax_number": "702-944-0453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
"enumeration_date": "2012-03-09",
"last_updated": "2012-03-09",
"status": "A",
"authorized_official_last_name": "GOLDMAN",
"authorized_official_first_name": "MICKEY",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "702-821-0005",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FACHE"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nevada Cancer Institute, an affiliate of UCSD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
- Mark Regans
- Anjali A Rege, MD
- Regen Wound Solutions LLC (Regen Wound Solutions)
- Regenerative Cell Institute
- Regents of the University of California (Nevada Cancer Institute, an affiliate of UCSD Health Systems)
- Kara Isabella Reghenzani
- Daniel Regidor
- Mary Ann Reginaldo
- Marisol P Regino
- Regions Healthcare Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.