Active NPI
Silver State Cardiology, LLC
- Cardiovascular Disease Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 9278
- Legal business name
- SILVER STATE CARDIOLOGY, LLC
- Practice address
- 4200 W Charleston Blvd BLDG a
Las Vegas, NV 89102-1625 - Phone
- (702) 683-7876
- Fax
- (702) 331-5764
- NPI assigned
- Sep 24, 2010
- 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
- Jose Aquino, M.D.
- Title
- Owner/Officer
- Phone
- (702) 270-2721
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 9278 | NV | Primary |
Addresses
Primary practice location
4200 W Charleston Blvd BLDG a
Las Vegas, NV 89102-1625
Mailing address
4200 W Charleston Blvd BLDG a
Las Vegas, NV 89102-1625
Phone (702) 683-7876
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DR3800 | Other | RR MEDICARE PTAN | |
| EN355A | Other | NV | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2621 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 308-5534
2354 E Bonanza Rd
Ste A
Las Vegas, NV 89101
2820 W Charleston Blvd
#B14
Las Vegas, NV 89102
2820 W Charleston Blvd
Ste B14
Las Vegas, NV 89102
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Henderson, NV
- NPI 1649239450
-
- Cardiovascular Disease Physician
- Las Vegas, NV
- NPI 1942299284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353283200000",
"number": "1659680635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 W CHARLESTON BLVD BLDG A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021625",
"telephone_number": "702-683-7876",
"fax_number": "702-331-5764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 W CHARLESTON BLVD BLDG A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021625",
"telephone_number": "702-683-7876",
"fax_number": "702-331-5764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILVER STATE CARDIOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-24",
"last_updated": "2012-11-19",
"status": "A",
"authorized_official_last_name": "AQUINO",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "OWNER/OFFICER",
"authorized_official_telephone_number": "702-270-2721",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NV",
"license": "9278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN",
"identifier": "DR3800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "EN355A",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Silver State ABA LLC
- Silver State Adolescent & Treatment Center LLC
- Silver State Adult Day Care, LLC
- Silver State Behavioral Care, LLC
- Silver State Behavioral Health Services, LLC
- Silver State Care Solutions
- Silver State Case Management Services
- Silver State Clinical Laboratory LLC
- Silver State Community & Health Services LLC
- Silver State Complete Wellness Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.