I-Stat Providers

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

I-STAT PROVIDERS

Practice address

4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600

Phone

(626) 290-1056

NPI assigned

Feb 18, 2022

Organization subpart

No

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

Authorized official

Name

Rajeev Kalra, MD

Title

President

Phone

(626) 290-1056

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1699420596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 TUCKAWAY COVE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396269",
            "telephone_number": "626-290-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD N",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916600",
            "telephone_number": "626-290-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-STAT PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "KALRA",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-290-1056",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154583870",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kleins@elaboflasvegas.com",
            "affiliation": "N",
            "address_1": "4700 Las Vegas Blvd N",
            "city": "Nellis AFB",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891916600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charles Alan Huggins, D.D.S.
• Pamela R Hughes, M.D.
• Brent Hunter, DO
• John Warden Hutchison
• Hai-Phuong Huynh, CRNA
• Javier J Ibarra, DPT
• Andrew Paul Ingel, DMD
• Kevin B Ingram, PSY D
• Victor Shawn Ingram, LCSW
• Bradley Ingrao, AUD

• General Practice Physician in Nellis Afb, NV
• Providers in Nellis Afb, NV by specialty
• General Practice Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.