NPIMap

Organization Active NPI

Tri City Medical Associates PC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1790732857
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11397 Issued in NV
Legal business name
TRI CITY MEDICAL ASSOCIATES PC
Practice address
10777 W Twain Avenue
Suite 225
Las Vegas, NV 89135
Phone
(702) 839-0946
Fax
(702) 839-0149
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Darren Randolph Swenson, M.D.NPI 1942274170
Title
President
Phone
(702) 839-0946

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 11397 NV Primary

Addresses

Primary practice location

10777 W Twain Avenue
Suite 225
Las Vegas, NV 89135

Mailing address

10777 W Twain Avenue
Suite 225
Las Vegas, NV 89135
Phone (702) 839-0946

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790732857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10777 W TWAIN AVENUE",
            "address_2": "SUITE 225",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89135",
            "telephone_number": "702-839-0946",
            "fax_number": "702-839-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10777 W TWAIN AVENUE",
            "address_2": "SUITE 225",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89135",
            "telephone_number": "702-839-0946",
            "fax_number": "702-839-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWENSON",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-839-0946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11397",
            "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 22, 2020; 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.