Organization Active NPI

Royam Medical Center LLC

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1659039436
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ROYAM MEDICAL CENTER LLC
Practice address
2621 W Charleston Blvd Ste G
Las Vegas, NV 89102-8910
Phone
(702) 417-8121
NPI assigned
Nov 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
Yamir Padron Corrales
Title
Managing Member
Phone
(702) 417-8121

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

2621 W Charleston Blvd Ste G
Las Vegas, NV 89102-8910

Mailing address

1836 Sierra Valley Way
Las Vegas, NV 89128-3040
Phone (702) 417-8121

National Provider Directory

National Provider Directory

Locations

2621 W Charleston Blvd
Ste G
Las Vegas, NV 89102
Phone (702) 417-8121

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1659039436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SIERRA VALLEY WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283040",
            "telephone_number": "702-417-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 W CHARLESTON BLVD STE G",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028910",
            "telephone_number": "702-417-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAM MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "PADRON CORRALES",
        "authorized_official_first_name": "YAMIR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-417-8121"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 29, 2021; 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.