Organization Active NPI

Jorgenson & Koka LLP

Doing business as Advanced Urgent Care & Nighlight Pediatrics

  • General Practice Physician
  • Las Vegas, NV
National Provider Identifier
1457382863
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
JORGENSON & KOKA LLP
Doing business as
Advanced Urgent Care & Nighlight Pediatrics
Practice address
9975 S Eastern Ave
Suite 110
Las Vegas, NV 89183-7949
Phone
(702) 361-2273
Fax
(702) 616-0657
NPI assigned
Jul 5, 2006
Last updated
Oct 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Craig M Jorgenson, MDNPI 1588646830
Title
Managing Member
Phone
(702) 492-7208

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 14

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Nurse Practitioner 363L00000X
Chiropractor 111N00000X
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 1915 NV
Family Medicine Physician 207Q00000X 1001 NV
Internal Medicine Physician 207R00000X
Physical Medicine & Rehabilitation Physician 208100000X 1915 NV
Medical Toxicology (Preventive Medicine) Physician 2083T0002X 9529 NV
Occupational Medicine Physician 2083X0100X 1001 NV
General Practice Physician 208D00000X Primary
Physical Therapist 225100000X
Physical Therapy Assistant 225200000X
Massage Therapist 225700000X
Radiologic Technologist 247100000X

Addresses

Primary practice location

9975 S Eastern Ave
Suite 110
Las Vegas, NV 89183-7949

Mailing address

PO Box 530010
Henderson, NV 89053-0010
Phone (702) 492-7208

Other identifiers 1

IdentifierTypeStateIssuer
100508145MedicaidNV

Other names 1

  • ADVANCED URGENT CARE & NIGHLIGHT PEDIATRICS Doing business as

National Provider Directory

National Provider Directory

Locations

9975 S Eastern Ave
Las Vegas, NV 89183
Phone (702) 361-2273

9975 S Eastern Ave
Ste 111
Las Vegas, NV 89183

Practitioners & affiliated clinicians

Practitioners 2

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1457382863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530010",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890530010",
            "telephone_number": "702-492-7208",
            "fax_number": "702-616-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 S EASTERN AVE",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837949",
            "telephone_number": "702-361-2273",
            "fax_number": "702-616-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGENSON & KOKA LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "JORGENSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-492-7208",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NV",
            "license": "1915",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "1001",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "1915",
            "primary": false
        },
        {
            "code": "2083T0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Medical Toxicology",
            "state": "NV",
            "license": "9529",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NV",
            "license": "1001",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508145",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED URGENT CARE & NIGHLIGHT PEDIATRICS",
            "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 10, 2016; 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.