Organization Active NPI

Las Vegas Professional Group - Calarco, P. C.

  • Addiction Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1609116003
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
Legal business name
LAS VEGAS PROFESSIONAL GROUP - CALARCO, P. C.
Practice address
2465 E Twain Ave
Las Vegas, NV 89121-4011
Phone
(615) 727-8387
Fax
(615) 457-8094
NPI assigned
Feb 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Mark A Calarco, DO
Title
Facility Ceo
Phone
(615) 712-5862

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X NV
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X NV Primary

Addresses

Primary practice location

2465 E Twain Ave
Las Vegas, NV 89121-4011

Mailing address

200 Powell PL
Attn: Legal Department
Brentwood, TN 37027-7514
Phone (615) 732-1605

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1609116003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 POWELL PL",
            "address_2": "ATTN: LEGAL DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277514",
            "telephone_number": "615-732-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 E TWAIN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214011",
            "telephone_number": "615-727-8387",
            "fax_number": "615-457-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS PROFESSIONAL GROUP - CALARCO, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "CALARCO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FACILITY CEO",
        "authorized_official_telephone_number": "615-712-5862",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NV",
            "license": null,
            "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 25, 2021; 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.