Active NPI
Victor a Estrada MD CHTD
- Allergy & Immunology Physician
- Las Vegas, NV
National Provider Identifier
1801200480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- VICTOR A ESTRADA MD CHTD
- Practice address
- 4445 S Eastern Ave
Suite a
Las Vegas, NV 89119-7851 - Phone
- (702) 735-1556
- Fax
- (702) 737-7495
- NPI assigned
- Jun 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robyn Wolf
- Title
- Credentialing Specialist
- Phone
- (512) 732-2774
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary |
Addresses
Primary practice location
4445 S Eastern Ave
Suite a
Las Vegas, NV 89119-7851
Mailing address
PO Box 202110
Austin, TX 78720-2110
Phone (512) 732-2774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4445 S Eastern Ave
Ste A
Las Vegas, NV 89119
Phone (702) 735-1156
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Las Vegas, NV
- NPI 1366510463
-
- Allergy & Immunology Physician
- Henderson, NV
- NPI 1013070804
-
- Physician Assistant
- Henderson, NV
- NPI 1144989567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508284800000",
"number": "1801200480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 202110",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787202110",
"telephone_number": "512-732-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 S EASTERN AVE",
"address_2": "SUITE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891197851",
"telephone_number": "702-735-1556",
"fax_number": "702-737-7495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTOR A ESTRADA MD CHTD",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-11",
"last_updated": "2017-10-18",
"status": "A",
"authorized_official_last_name": "WOLF",
"authorized_official_first_name": "ROBYN",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "512-732-2774"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"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 Oct 18, 2017; 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.