Organization Active NPI

Kaushal K Mehta NP

  • Urgent Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1457068546
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
KAUSHAL K MEHTA NP
Practice address
8440 W Lake Mead Blvd Ste 111
Las Vegas, NV 89128-7648
Phone
(702) 726-9722
Fax
(702) 906-0067
NPI assigned
Oct 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Ann Uganiza
Title
Business Manager
Phone
(702) 726-9722

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

8440 W Lake Mead Blvd Ste 111
Las Vegas, NV 89128-7648

Mailing address

8440 W Lake Mead Blvd Ste 111
Las Vegas, NV 89128-7648
Phone (702) 726-9722

Other names 1

  • AFFORD CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

8440 W Lake Mead Blvd
Ste 111
Las Vegas, NV 89128
Phone (702) 363-9000

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1457068546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 W LAKE MEAD BLVD STE 111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287648",
            "telephone_number": "702-726-9722",
            "fax_number": "702-906-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 W LAKE MEAD BLVD STE 111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287648",
            "telephone_number": "702-726-9722",
            "fax_number": "702-906-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUSHAL K MEHTA NP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "UGANIZA",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "702-726-9722"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFFORD CLINIC",
            "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 Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.