NPIMap

Organization Active NPI

C. I. Garaycochea MD Prof Corp

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1568893972
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
13797 Issued in NV
Legal business name
C. I. GARAYCOCHEA MD PROF CORP
Practice address
3153 E Warm Springs Rd
#300,
Las Vegas, NV 89120
Phone
(702) 487-6510
Fax
(702) 405-7960
NPI assigned
Dec 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Christian I Garaycochea, MD
Title
Ceo
Phone
(702) 487-6510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 13797 NV Primary

Addresses

Primary practice location

3153 E Warm Springs Rd
#300,
Las Vegas, NV 89120

Mailing address

PO Box 93358
Las Vegas, NV 89120
Phone (702) 487-6510

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1568893972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93358",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89120",
            "telephone_number": "702-487-6510",
            "fax_number": "702-405-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3153 E WARM SPRINGS RD",
            "address_2": "#300,",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89120",
            "telephone_number": "702-487-6510",
            "fax_number": "702-405-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. I. GARAYCOCHEA MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "GARAYCOCHEA",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-487-6510",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "13797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 27, 2014; 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.