Organization Active NPI

Ensign Family Medicine

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1821264482
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ENSIGN FAMILY MEDICINE
Practice address
5771 S Fort Apache Rd
Suite #100
Las Vegas, NV 89148-5626
Phone
(702) 951-3400
Fax
(702) 951-3403
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. Sanford F White, M.D.
Title
Owner/Physician
Phone
(702) 951-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5771 S Fort Apache Rd
Suite #100
Las Vegas, NV 89148-5626

Mailing address

5771 S Fort Apache Rd
Suite #100
Las Vegas, NV 89148-5626
Phone (702) 951-3400

Other identifiers 1

IdentifierTypeStateIssuer
002018784MedicaidNV

National Provider Directory

National Provider Directory

Locations

5771 S Fort Apache Rd
Ste A
Las Vegas, NV 89148
Phone (701) 951-3400

5771 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 951-3400

7751 W Flamingo Rd
Ste A
Las Vegas, NV 89147
Phone (702) 612-2111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFAICD

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1821264482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5771 S FORT APACHE RD",
            "address_2": "SUITE #100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485626",
            "telephone_number": "702-951-3400",
            "fax_number": "702-951-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5771 S FORT APACHE RD",
            "address_2": "SUITE #100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485626",
            "telephone_number": "702-951-3400",
            "fax_number": "702-951-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSIGN FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "702-951-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018784",
            "state": "NV"
        }
    ],
    "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 May 5, 2008; 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.