City of Mesquite

Primary specialty

AmbulanceTaxonomy code 341600000X

License

#314 Issued in NV

Legal business name

CITY OF MESQUITE

Practice address

10 E Mesquite Blvd.
Mesquite, NV 89027-4706

Phone

(702) 346-2690

Fax

(702) 346-5242

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marsha V Black, C.P.C.

Title

Manager Rep.

Phone

(801) 295-9811

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1649337643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT. 8815",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900848815",
            "telephone_number": "213-614-3049",
            "fax_number": "866-575-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E MESQUITE BLVD.",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890274706",
            "telephone_number": "702-346-2690",
            "fax_number": "702-346-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MESQUITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MANAGER REP.",
        "authorized_official_telephone_number": "801-295-9811",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.P.C."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NV",
            "license": "#314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.B. B.C/B.S.",
            "identifier": "NV1263",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XMTE06486",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003202331",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.R.",
            "identifier": "590014513",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liliana A Castaneda-Samaniego
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• Christine Jyl Christensen
• Jennifer Cisler
• Angela Dee Clark
• Henry Larry Clark
• Clayton G. Fuller MD, PC
• Brian Copeland
• Cosmopolitan Dental

• All providers in Mesquite, NV
• Ambulance in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.