Organization Active NPI

Li Yee Guo MD LTD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1629120852
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LI YEE GUO MD LTD
Practice address
7918 W Sahara Ave
Las Vegas, NV 89117-1990
Phone
(702) 360-6148
Fax
(702) 360-2879
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Li Yee Guo, M.D.NPI 1063482552
Title
President
Phone
(702) 360-6148

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7918 W Sahara Ave
Las Vegas, NV 89117-1990

Mailing address

7918 W Sahara Ave
Las Vegas, NV 89117-1990
Phone (702) 360-6148

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714000940 NV Part B Supplier - Clinic/Group Practice 0648259648 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

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
29D0965885Li Yee Guo MD7918 W Sahara Ave, Las Vegas, NV 89117Certificate of waiverSep 29, 2027

National Provider Directory

National Provider Directory

Locations

7918 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 360-6148

8801 W Sahara Ave
Ste 250
Las Vegas, NV 89117
Phone (702) 360-6148

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFBBD

Practitioners & affiliated clinicians

Practitioners 3

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1629120852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7918 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171990",
            "telephone_number": "702-360-6148",
            "fax_number": "702-360-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7918 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171990",
            "telephone_number": "702-360-6148",
            "fax_number": "702-360-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI YEE GUO MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "LI",
        "authorized_official_middle_name": "YEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-360-6148",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "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 Aug 8, 2007; 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.