Active NPI
William Vu Quach, DO
- Pediatrics Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DO3185
- Practice address
- 871 Coronado Center Dr Ste 141
Henderson, NV 89052-3977 - Phone
- (702) 566-2400
- Fax
- (702) 735-2296
- NPI assigned
- Mar 19, 2019
- Last updated
- Jul 1, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pediatrics Physician | 208000000X | DO3185 | NV | Primary |
Addresses
Primary practice location
871 Coronado Center Dr Ste 141
Henderson, NV 89052-3977
Mailing address
871 Coronado Center Dr Ste 141
Henderson, NV 89052-3977
Phone (702) 566-2400
Other practice location 1
1524 Pinto Ln Fl 2
Las Vegas, NV 89106-4195
Phone (702) 780-7587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO3185 | NV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unlv Medicine | Current | Accepting new patients | |
| Unlv Medicine | Current | Accepting new patients | |
| Unlv Medicine | Current | Accepting new patients | |
| Henderson Hospital | Past | Accepting new patients | |
| Southern Hills Medical Center, LLC | Past | Accepting new patients |
Locations
1524 Pinto Ln
Fl 2
Las Vegas, NV 89106
Phone (702) 671-2236
1524 Pinto Ln
Fl 3
Las Vegas, NV 89106
Phone (702) 944-2828
1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300
2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700
3016 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 780-2315
Interoperability endpoints
- https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1407397235
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1851811525
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1003281452
-
dba Southern Hills Hospital & Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1457306359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1477012276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 CORONADO CENTER DR STE 141",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523977",
"telephone_number": "702-566-2400",
"fax_number": "702-735-2296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 CORONADO CENTER DR STE 141",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523977",
"telephone_number": "702-566-2400",
"fax_number": "702-735-2296"
}
],
"practiceLocations": [
{
"address_1": "1524 Pinto Ln Fl 2",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891064195",
"country_code": "US",
"telephone_number": "702-780-7587",
"fax_number": "702-671-2223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUACH",
"first_name": "WILLIAM",
"middle_name": "VU",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-19",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "DO3185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.