Organization Active NPI

Damaj Horizon View Medical Center, PC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1740475664
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10028 Issued in NV
Legal business name
DAMAJ HORIZON VIEW MEDICAL CENTER, PC
Practice address
6170 N Durango Dr Ste 220
Las Vegas, NV 89149-3926
Phone
(702) 641-8500
Fax
(702) 641-8502
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Nouhad Damaj, MDNPI 1134108038
Title
Practice Owner
Phone
(702) 641-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 10028 NV Primary

Addresses

Primary practice location

6170 N Durango Dr Ste 220
Las Vegas, NV 89149-3926

Mailing address

PO Box 33166
Las Vegas, NV 89133-3166
Phone (702) 641-8500

Other names 1

  • Horizon View Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071217000767 NV Part B Supplier - Clinic/Group Practice 1951491752 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D1103769Horizon View Medical Center6170 N Durango Dr Ste 220, Las Vegas, NV 89149Certificate of waiverAug 17, 2027

National Provider Directory

National Provider Directory

Locations

6850 N Durango Dr
Ste 301
Las Vegas, NV 89149
Phone (702) 292-8242

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1740475664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33166",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891333166",
            "telephone_number": "702-641-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 N DURANGO DR STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493926",
            "telephone_number": "702-641-8500",
            "fax_number": "702-641-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMAJ HORIZON VIEW MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "DAMAJ",
        "authorized_official_first_name": "NOUHAD",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "702-641-8500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon View Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horizon View Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.