Organization Active NPI

Community House Calls of Nevada

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1689119612
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
529 Issued in NV
Legal business name
COMMUNITY HOUSE CALLS OF NEVADA
Practice address
3211 W Charleston Blvd
Las Vegas, NV 89102-1953
Phone
(702) 525-3436
Fax
(702) 549-5240
NPI assigned
Dec 29, 2016
Last updated
Dec 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Alfredo Hibbert, P.A.
Title
P.a. / Owner
Phone
(702) 525-3436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 529 NV Primary

Addresses

Primary practice location

3211 W Charleston Blvd
Las Vegas, NV 89102-1953

Mailing address

3211 W Charleston Blvd
Las Vegas, NV 89102-1953
Phone (702) 525-3436

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1689119612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021953",
            "telephone_number": "702-525-3436",
            "fax_number": "702-549-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021953",
            "telephone_number": "702-525-3436",
            "fax_number": "702-549-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOUSE CALLS OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "HIBBERT",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "P.A. / OWNER",
        "authorized_official_telephone_number": "702-525-3436",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "529",
            "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 Dec 29, 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.

Verify at the official NPI Registry.