NPIMap

Organization Active NPI

Capsule Endoscopy Services Inc.

  • Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1639352453
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
11774 Issued in NV
Legal business name
CAPSULE ENDOSCOPY SERVICES INC.
Practice address
9499 W Charleston Blvd
Suite 150
Las Vegas, NV 89117-7147
Phone
(702) 478-7941
Fax
(702) 478-7951
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Dr. Rome Jutabha, M.D.
Title
Medical Director
Phone
(702) 478-7941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 11774 NV Primary

Addresses

Primary practice location

9499 W Charleston Blvd
Suite 150
Las Vegas, NV 89117-7147

Mailing address

100 UCLA Medical Plaza
Suite 310
Los Angeles, CA 90095-0001
Phone (310) 825-5381

National Provider Directory

National Provider Directory

Locations

100 Ucla Med Plz 310
Los Angeles, CA 90095

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1639352453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLAZA",
            "address_2": "SUITE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-5381",
            "fax_number": "310-825-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9499 W CHARLESTON BLVD",
            "address_2": "SUITE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177147",
            "telephone_number": "702-478-7941",
            "fax_number": "702-478-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSULE ENDOSCOPY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "JUTABHA",
        "authorized_official_first_name": "ROME",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-478-7941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": "11774",
            "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 Dec 14, 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.