NPIMap

Organization Active NPI

Reiichi Iizuka, M.D. CHTD.

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1619165289
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2426 Issued in NV
Legal business name
REIICHI IIZUKA, M.D. CHTD.
Practice address
3010 W Charleston Blvd
Ste 150
Las Vegas, NV 89102-1966
Phone
(702) 878-0070
Fax
(702) 818-1930
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Reiichi Iizuka
Title
MD
Phone
(702) 878-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 2426 NV Primary

Addresses

Primary practice location

3010 W Charleston Blvd
Ste 150
Las Vegas, NV 89102-1966

Mailing address

3010 W Charleston Blvd
Ste 150
Las Vegas, NV 89102-1966
Phone (702) 878-0070

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1619165289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 W CHARLESTON BLVD",
            "address_2": "STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021966",
            "telephone_number": "702-878-0070",
            "fax_number": "702-818-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 W CHARLESTON BLVD",
            "address_2": "STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021966",
            "telephone_number": "702-878-0070",
            "fax_number": "702-818-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIICHI IIZUKA, M.D. CHTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "IIZUKA",
        "authorized_official_first_name": "REIICHI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "702-878-0070",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "2426",
            "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 Oct 9, 2007; 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.