Organization Active NPI

Ghovanlou Family Medicine PC

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1649353863
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11921 Issued in NV
Legal business name
GHOVANLOU FAMILY MEDICINE PC
Practice address
3150 N Tenaya Way
Ste 480
Las Vegas, NV 89128-0443
Phone
(702) 243-2327
Fax
(702) 243-2427
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Parissa Ghovanlou, M.D.
Title
President
Phone
(702) 243-2327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 11921 NV Primary

Addresses

Primary practice location

3150 N Tenaya Way
Ste 480
Las Vegas, NV 89128-0443

Mailing address

3150 N Tenaya Way
Ste 480
Las Vegas, NV 89128-0443
Phone (702) 243-2327

National Provider Directory

National Provider Directory

Locations

3150 N Tenaya Way
Ste 480
Las Vegas, NV 89128
Phone (702) 562-5831

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1649353863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY",
            "address_2": "STE 480",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280443",
            "telephone_number": "702-243-2327",
            "fax_number": "702-243-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY",
            "address_2": "STE 480",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280443",
            "telephone_number": "702-243-2327",
            "fax_number": "702-243-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHOVANLOU FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "GHOVANLOU",
        "authorized_official_first_name": "PARISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-243-2327",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11921",
            "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 Oct 12, 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.