Paradise Medical Enterprises

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M07-02190-1-080989 Issued in NV

Legal business name

PARADISE MEDICAL ENTERPRISES

Practice address

2881 S Valley View
Suite 15
Las Vegas, NV 89102-0100

Phone

(702) 474-6300

Fax

(702) 974-0108

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Egidio

Title

Practice Manager

Phone

(702) 474-6300

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Garry R. Lee, M.D.

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1881631851
  NPD (past)
• Charles W. Matthews, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1851438725
  NPD (past)
• Ernest Bloom, MD

  • Dermatopathology Physician
  • Alameda, CA
  • NPI 1306941620
  NPD (past)
• Carlota Cruz Nepomuceno, MD

  • Family Medicine Physician
  • Redding, CA
  • NPI 1316067622
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1790819282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 S VALLEY VW",
            "address_2": "SUITE 15",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020100",
            "telephone_number": "702-474-6300",
            "fax_number": "702-974-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 S VALLEY VIEW",
            "address_2": "SUITE 15",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020100",
            "telephone_number": "702-474-6300",
            "fax_number": "702-974-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE MEDICAL ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "EGIDIO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "702-474-6300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "M07-02190-1-080989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paradise Healthcare Services, Inc.
• Paradise Healthcare Services, Inc.
• Paradise Healthcare Services, Inc. Dba Paradise Home Care
• Paradise Home Health LLC
• Paradise LV Nielson PDC PLLC
• Paradise Memory Care
• Paradise Mental Health Services LLC
• Paradise Mental Therapy LLC
• Paradise Orthodontics
• Paradise Park Children'S Dental Clinic

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.