NPIMap

Organization Active NPI

Brian Citro MD PC

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1780790741
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
11968 Issued in NV
Legal business name
BRIAN CITRO MD PC
Practice address
3150 N Tenaya Way
Suite 550
Las Vegas, NV 89128-0443
Phone
(702) 648-9400
Fax
(702) 636-0249
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Authorized official

Name
Diana Lee
Title
Consultant
Phone
(702) 798-3008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 11968 NV Primary

Addresses

Primary practice location

3150 N Tenaya Way
Suite 550
Las Vegas, NV 89128-0443

Mailing address

PO Box 50204
Henderson, NV 89016-0204
Phone (702) 648-9400

National Provider Directory

National Provider Directory

Locations

3150 N Tenaya Way
Ste 550
Las Vegas, NV 89128
Phone (702) 576-5880

4240 Simmons St
Ste 100
North Las Vegas, NV 89032
Phone (702) 648-9400

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": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1780790741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50204",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890160204",
            "telephone_number": "702-648-9400",
            "fax_number": "702-636-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY",
            "address_2": "SUITE 550",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280443",
            "telephone_number": "702-648-9400",
            "fax_number": "702-636-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN CITRO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "702-798-3008"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NV",
            "license": "11968",
            "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 Aug 4, 2014; 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.