Organization Active NPI

Spanish Hills Surgical Center LLC

Doing business as Spanish Hills Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1700910585
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
PENDING ISSUE Issued in NV
Legal business name
SPANISH HILLS SURGICAL CENTER LLC
Doing business as
Spanish Hills Surgical Center
Practice address
5915 S Rainbow Boulevard
Suite #106
Las Vegas, NV 89113
Phone
(702) 382-8101
Fax
(702) 382-4890
NPI assigned
Mar 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dipak Desai, MD
Title
President
Phone
(702) 382-8101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X PENDING ISSUE NV Primary

Addresses

Primary practice location

5915 S Rainbow Boulevard
Suite #106
Las Vegas, NV 89113

Mailing address

700 Shadow LN
Suite #165a
Las Vegas, NV 89106-4126
Phone (702) 382-8101

Other identifiers 1

IdentifierTypeStateIssuer
685095OtherNVNV STATE BUSINESS LICENSE

Other names 1

  • Spanish Hills Surgical Center Doing business as

National Provider Directory

National Provider Directory

Locations

5915 S Rainbow Blvd
Ste 106
Las Vegas, NV 89118
Phone (702) 382-8101

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700910585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SHADOW LN",
            "address_2": "SUITE #165A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064126",
            "telephone_number": "702-382-8101",
            "fax_number": "702-382-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 S RAINBOW BOULEVARD",
            "address_2": "SUITE #106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89113",
            "telephone_number": "702-382-8101",
            "fax_number": "702-382-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH HILLS SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "DIPAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-382-8101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "PENDING ISSUE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV STATE BUSINESS LICENSE",
            "identifier": "685095",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spanish Hills Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.