Individual provider Active NPI

Glaucia G.R. Goncalves, CST

  • Surgical Technologist
  • Las Vegas, NV
National Provider Identifier
1710273008
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
101801 Issued in NV
Practice address
8960 W. Tropicana Avenue
500
Las Vegas, NV 89147-8139
Phone
(702) 739-4263
Fax
(877) 739-3590
NPI assigned
Jun 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 101801 NV Primary

Addresses

Primary practice location

8960 W. Tropicana Avenue
500
Las Vegas, NV 89147-8139

Mailing address

8960 W. Tropicana Avenue
500
Las Vegas, NV 89147-8139
Phone (702) 739-4263

Other names 1

  • Glaucia G.R, Santos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
101801NVMDSurgical Technologist

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1710273008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8960 W. TROPICANA AVENUE",
            "address_2": "500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478139",
            "telephone_number": "702-739-4263",
            "fax_number": "877-739-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8960 W. TROPICANA AVENUE",
            "address_2": "500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478139",
            "telephone_number": "702-739-4263",
            "fax_number": "877-739-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCALVES",
        "first_name": "GLAUCIA",
        "middle_name": "G.R.",
        "credential": "CST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "NV",
            "license": "101801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLAUCIA",
            "last_name": "SANTOS",
            "middle_name": "G.R,",
            "credential": "CST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 24, 2011; 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.