Organization Active NPI

Western Nevada Surgical Center Inc

  • Ophthalmologic Surgery Clinic/Center
  • Carson City, NV
National Provider Identifier
1609862341
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
4247ASC1 Issued in NV
Legal business name
WESTERN NEVADA SURGICAL CENTER INC
Practice address
1299 Mountain St
Carson City, NV 89703-3816
Phone
(775) 882-4477
Fax
(775) 882-4479
NPI assigned
Sep 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Mehdi Vazeen, MDNPI 1982600516
Title
Medical Director
Phone
(775) 882-4477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 4247ASC1 NV Primary

Addresses

Primary practice location

1299 Mountain St
Carson City, NV 89703-3816

Mailing address

1299 Mountain St
Carson City, NV 89703-3816
Phone (775) 882-4477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050930000722 NV Part B Supplier - Ambulatory Surgical Center 8628003324 Practice locations: Carson City, NV

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Western Nevada Surgical Center IncCCN 29C0001060
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D1038450Western Nevada Surgical Center Inc1299 Mountain St, Carson City, NV 89703Certificate of waiverMar 17, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1609862341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033816",
            "telephone_number": "775-882-4477",
            "fax_number": "775-882-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033816",
            "telephone_number": "775-882-4477",
            "fax_number": "775-882-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEVADA SURGICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "VAZEEN",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "775-882-4477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NV",
            "license": "4247ASC1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.