Organization Active NPI

Passion Medical Associates Inc

  • Family Medicine Physician
  • North Las Vegas, NV
National Provider Identifier
1750561833
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12241 Issued in NV
Legal business name
PASSION MEDICAL ASSOCIATES INC
Practice address
4240 Simmons St
North Las Vegas, NV 89032-0766
Phone
(702) 798-1233
Fax
(702) 531-1233
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Peter K Asafo-Adjei, M.D.NPI 1134331986
Title
Member
Phone
(702) 868-7777

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 12241 NV Primary

Addresses

Primary practice location

4240 Simmons St
North Las Vegas, NV 89032-0766

Mailing address

PO Box 371708
Las Vegas, NV 89137-1708
Phone (702) 798-1233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071226000406 NV Part B Supplier - Clinic/Group Practice 7810087160 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV; North Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

4240 Simmons St
North Las Vegas, NV 89032
Phone (702) 635-1222

Practitioners & affiliated clinicians

Practitioners 1

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": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1750561833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371708",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891371708",
            "telephone_number": "702-798-1233",
            "fax_number": "702-531-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 SIMMONS ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320766",
            "telephone_number": "702-798-1233",
            "fax_number": "702-531-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSION MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "ASAFO-ADJEI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-868-7777",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "12241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.