Active NPI
Spring Mountain Medical Center PLLC
- Internal Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SPRING MOUNTAIN MEDICAL CENTER PLLC
- Practice address
- 2810 W Charleston Blvd Ste G64
Las Vegas, NV 89102-1921 - Phone
- (702) 899-3039
- NPI assigned
- May 12, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rafael Okamoto, MD
- Title
- Owner
- Phone
- (714) 376-7853
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2810 W Charleston Blvd Ste G64
Las Vegas, NV 89102-1921
Mailing address
4276 Spring Mountain Rd Unit 211
Las Vegas, NV 89102-8781
Phone (702) 899-3039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235281874 | Medicaid | NV |
Other names 1
- RAFAEL OKAMOTO
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | OtherURL | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2275486 | Spring Mountain Medical Center | Certificate of waiver | Jan 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
2810 W Charleston Blvd
Ste G64
Las Vegas, NV 89102
Phone (702) 889-3039
4276 Spring Mountain Rd
Unit 211
Las Vegas, NV 89102
2810 W Charleston Blvd
Unit G64
Las Vegas, NV 89102
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1235281874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758931200000",
"number": "1639791791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4276 SPRING MOUNTAIN RD UNIT 211",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891028781",
"telephone_number": "702-899-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 W CHARLESTON BLVD STE G64",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021921",
"telephone_number": "702-899-3039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRING MOUNTAIN MEDICAL CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-12",
"last_updated": "2025-09-27",
"certification_date": "2025-09-27",
"status": "A",
"authorized_official_last_name": "OKAMOTO",
"authorized_official_first_name": "RAFAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-376-7853",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235281874",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "OtherURL",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2810 W Charleston Blvd Ste G64",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891021921",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "RAFAEL OKAMOTO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Las Vegas, NV
- Deyona Sprawling
- Kyrsten Sprewell
- Taylor Raymond Spriggel, PA-C
- Arkameia Rochelle Spriggs
- Spring Mountain Dental Inc
- Spring Mountain Medical Group
- Spring Mountain Rehab, LLC
- Spring Mountain Vision, Inc.
- Spring Valley Dialysis Center LLC (Fresenius Kidney Care Spring Valley (Las Vegas))
- Spring Valley Health Care, LLC (Spanish Hills Wellness Suites)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2025; 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.