NPIMap

Organization Active NPI

Platinum Surgical Assosiates

  • Surgical Assistant
  • North Las Vegas, NV
National Provider Identifier
1780129577
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
171630 Issued in NV
Legal business name
PLATINUM SURGICAL ASSOSIATES
Practice address
4140 Inglewood Point St
North Las Vegas, NV 89032-1147
Phone
(702) 361-8571
NPI assigned
Jan 3, 2017
Last updated
Jan 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Mr. Vern Vontrice Palmer, CSFANPI 1639583131
Title
Ceo
Phone
(702) 325-8928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 211D00000X 171630 NV
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X 171630 NV Primary
Ambulatory Surgical Clinic/Center 261QA1903X 171630 NV

Addresses

Primary practice location

4140 Inglewood Point St
North Las Vegas, NV 89032-1147

Mailing address

4140 Inglewood Point St
North Las Vegas, NV 89032-1147

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1780129577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 INGLEWOOD POINT ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890321147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 INGLEWOOD POINT ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890321147",
            "telephone_number": "702-361-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM SURGICAL ASSOSIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "VERN",
        "authorized_official_middle_name": "VONTRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-325-8928",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "211D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant, Podiatric",
            "state": "NV",
            "license": "171630",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NV",
            "license": "171630",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "171630",
            "primary": false
        }
    ],
    "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 Jan 3, 2017; 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.