Organization Active NPI

Sassan Kaveh MD Prof Corp

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1649291352
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8320 Issued in NV
Legal business name
SASSAN KAVEH MD PROF CORP
Practice address
3150 N Tenaya Way
Suite 400
Las Vegas, NV 89128-0443
Phone
(702) 233-6661
Fax
(702) 233-3055
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Sassan Kaveh, MD
Title
President
Phone
(702) 233-6661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 8320 NV Primary

Addresses

Primary practice location

3150 N Tenaya Way
Suite 400
Las Vegas, NV 89128-0443

Mailing address

3150 N Tenaya Way
Suite 400
Las Vegas, NV 89128-0443
Phone (702) 233-6661

Other identifiers 2

IdentifierTypeStateIssuer
1851385447MedicaidNV
6750110001OtherNVPTAN

National Provider Directory

National Provider Directory

Locations

3150 N Tenaya Way
Ste 540
Las Vegas, NV 89128
Phone (702) 228-4088

3150 N Tenaya Way
Ste 400
Las Vegas, NV 89128
Phone (702) 233-6661

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1649291352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY",
            "address_2": "SUITE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280443",
            "telephone_number": "702-233-6661",
            "fax_number": "702-233-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY",
            "address_2": "SUITE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280443",
            "telephone_number": "702-233-6661",
            "fax_number": "702-233-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASSAN KAVEH MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "KAVEH",
        "authorized_official_first_name": "SASSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-233-6661",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851385447",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "6750110001",
            "state": "NV"
        }
    ],
    "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 28, 2020; 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.