Active NPI
Homayon Iraninezhad DO PC
- Gastroenterology Physician
- Las Vegas, NV
National Provider Identifier
1649729161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- DO1453
- Legal business name
- HOMAYON IRANINEZHAD DO PC
- Practice address
- 201 N Buffalo Dr
Las Vegas, NV 89145-0373 - Phone
- (702) 623-3454
- Fax
- (702) 666-0374
- NPI assigned
- Sep 26, 2016
- 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
- Xeneteia Aquino
- Title
- Credentialing Specialist
- Phone
- (702) 818-9397
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | DO1453 | NV | Primary |
Addresses
Primary practice location
201 N Buffalo Dr
Las Vegas, NV 89145-0373
Mailing address
PO Box 371086
Las Vegas, NV 89137-1086
Phone (702) 623-6454
National Provider Directory
National Provider DirectoryLocations
7250 Cathedral Rock Dr
Las Vegas, NV 89128
Phone (702) 304-3985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478044800000",
"number": "1649729161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 371086",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891371086",
"telephone_number": "702-623-6454",
"fax_number": "702-666-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N BUFFALO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891450373",
"telephone_number": "702-623-3454",
"fax_number": "702-666-0374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMAYON IRANINEZHAD DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-26",
"last_updated": "2016-11-02",
"status": "A",
"authorized_official_last_name": "AQUINO",
"authorized_official_first_name": "XENETEIA",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "702-818-9397"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "NV",
"license": "DO1453",
"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 Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.