Organization Active NPI

Ernesto a McCombs Chartered

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1699860957
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
660 Issued in NV
Legal business name
ERNESTO A MCCOMBS CHARTERED
Practice address
501 S Rancho Dr
Suite C-15
Las Vegas, NV 89106-4828
Phone
(702) 822-4441
Fax
(702) 822-1263
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Dr. Ernesto Arcadio McCombs, D.O.NPI 1013974112
Title
Owner
Phone
(702) 822-4441

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 660 NV Primary

Addresses

Primary practice location

501 S Rancho Dr
Suite C-15
Las Vegas, NV 89106-4828

Mailing address

PO Box 27110
Las Vegas, NV 89126-1110
Phone (702) 822-4441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100706000181 NV Part B Supplier - Clinic/Group Practice 3870624992 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1699860957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891261110",
            "telephone_number": "702-822-4441",
            "fax_number": "702-822-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S RANCHO DR",
            "address_2": "SUITE C-15",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064828",
            "telephone_number": "702-822-4441",
            "fax_number": "702-822-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTO A MCCOMBS CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "MCCOMBS",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "ARCADIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-822-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "660",
            "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 Jul 27, 2010; 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.

Verify at the official NPI Registry.