Organization Active NPI

Orangeview Las Vegas Healthcare

  • General Practice Physician
  • Las Vegas, NV
National Provider Identifier
1710747514
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ORANGEVIEW LAS VEGAS HEALTHCARE
Practice address
9890 S Maryland Pkwy Ste 200B
Las Vegas, NV 89183-7169
Phone
(702) 912-4444
Fax
(725) 202-2858
NPI assigned
Mar 20, 2024
Last updated
Mar 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Andre Reynoso
Title
Cfo/Coo
Phone
(702) 736-0066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

9890 S Maryland Pkwy Ste 200B
Las Vegas, NV 89183-7169

Mailing address

9890 S Maryland Pkwy Ste 200B
Las Vegas, NV 89183-7169
Phone (702) 736-0066

National Provider Directory

National Provider Directory

Locations

9890 S Maryland Pkwy
Ste 200B
Las Vegas, NV 89183
Phone (702) 912-4444

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1710747514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9890 S MARYLAND PKWY STE 200B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837169",
            "telephone_number": "702-736-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9890 S MARYLAND PKWY STE 200B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837169",
            "telephone_number": "702-912-4444",
            "fax_number": "725-202-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGEVIEW LAS VEGAS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "REYNOSO",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "CFO/COO",
        "authorized_official_telephone_number": "702-736-0066"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "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 20, 2024; 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.