NPIMap

Organization Active NPI

Partida Medical Center LLC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1710375159
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11639 Issued in NV
Legal business name
PARTIDA MEDICAL CENTER LLC
Practice address
5757 Wayne Newton Blvd
Terminal 1 Mezzanine Level 2
Las Vegas, NV 89111-8037
Phone
(702) 261-6707
Fax
(702) 261-6744
NPI assigned
Jan 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Dr. Jose M Partida Corona, M.D.
Title
Owner
Phone
(702) 261-6707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 11639 NV Primary

Addresses

Primary practice location

5757 Wayne Newton Blvd
Terminal 1 Mezzanine Level 2
Las Vegas, NV 89111-8037

Mailing address

PO Box 34625
Las Vegas, NV 89133-4625
Phone (702) 261-6707

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1710375159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34625",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891334625",
            "telephone_number": "702-261-6707",
            "fax_number": "702-261-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WAYNE NEWTON BLVD",
            "address_2": "TERMINAL 1 MEZZANINE LEVEL 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891118037",
            "telephone_number": "702-261-6707",
            "fax_number": "702-261-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTIDA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "PARTIDA CORONA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-261-6707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11639",
            "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 Mar 31, 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.