Agapito B Racoma MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

6553 Issued in NV

Legal business name

AGAPITO B RACOMA MD LLC

Practice address

7000 Spring Mountain Rd
Las Vegas, NV 89117-3816

Phone

(702) 239-7905

Fax

(775) 751-0405

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Agapito Racoma, MD

Title

President Owner

Phone

(702) 239-7905

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Associated Psychiatric Services Doing business as

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1700965647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 S RAINBOW BLVD",
            "address_2": "#134",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456238",
            "fax_number": "775-751-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SPRING MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173816",
            "telephone_number": "702-239-7905",
            "fax_number": "775-751-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPITO B RACOMA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "RACOMA",
        "authorized_official_first_name": "AGAPITO",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "702-239-7905",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "6553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508872",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Agape Medical Services LLC
• Agape Personal Care Services
• Agape Resiliency Training
• Agape Resiliency Training LLC
• Agape Wellness and Family Services
• Diva Jyoti Agarwal, DO
• Rachell Anne Nunez Agas, NP
• Chetany Agastya
• Manas Agastya, M.D.
• Agata-Venger Partnership

• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.