Organization Active NPI

Amador Medical-Arizona

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
National Provider Identifier
1609287283
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AMADOR MEDICAL-ARIZONA
Practice address
4325 Dean Martin Dr
Suite 340
Las Vegas, NV 89103-4179
Phone
(702) 830-0869
NPI assigned
May 16, 2014
Last updated
May 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Andrina Vasquez
Title
Manager
Phone
(702) 830-0869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4325 Dean Martin Dr
Suite 340
Las Vegas, NV 89103-4179

Mailing address

16151 S 40TH Street
Suite 109
Phoenix, AZ 85048
Phone (702) 830-0869

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1609287283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16151 S 40TH STREET",
            "address_2": "SUITE 109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85048",
            "telephone_number": "702-830-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 DEAN MARTIN DR",
            "address_2": "SUITE 340",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034179",
            "telephone_number": "702-830-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMADOR MEDICAL-ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "ANDRINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-830-0869"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "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 May 16, 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.