Elmer S. David, MD, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

14165 Issued in NV

Legal business name

ELMER S. DAVID, MD, PLLC

Doing business as

A Las Vegas Medical Group

Practice address

5876 S. Pecos Rd. BLDG. B
Las Vegas, NV 89120

Phone

(702) 733-0744

Fax

(702) 796-8262

NPI assigned

Dec 27, 2012

Last updated

Jul 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nikole Malaxechevarria

Title

Practice Manager

Phone

(702) 733-0744

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• A Las Vegas Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Tax ID family

A Las Vegas Family Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• A Las Vegas Pediatrics

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1740608108
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan B Jauregui, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1972792075
  Medicare reassignment Care Compare group NPD
• Hieu Truong

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1700326154
  Medicare reassignment Care Compare group NPD
• Elmer S. David, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Los Angeles, CA
  • NPI 1215019641

  Family Medicine, NV

  Medicare reassignment NPD
• Jennifer Lyn Vidal, D.O.

  • Pediatrics Physician
  • Harrison, NJ
  • NPI 1649565201

  NV

  Medicare reassignment NPD

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1720324429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5876 S. PECOS RD. BLDG. B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89120",
            "telephone_number": "702-733-0744",
            "fax_number": "702-796-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5876 S. PECOS RD. BLDG. B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89120",
            "telephone_number": "702-733-0744",
            "fax_number": "702-796-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMER S. DAVID, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "MALAXECHEVARRIA",
        "authorized_official_first_name": "NIKOLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "702-733-0744",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001848",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "1091",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "14165",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NJ",
            "license": "25MA05800100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5234409",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Las Vegas Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Ellzey
• Talia Dalit Elma
• Liana Elmassian
• Sfia Elmennani
• Elmer G Palitang, MD, PC
• Roger R Elmer, D.C.
• Toni Rochelle Elmer
• Husameddin M Elmesallati, M.D.
• Mohab Elmohr, MD
• Janee Elmore

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.