NPIMap

Organization Active NPI

Sunset Clinic

  • Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1831411313
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1019 Issued in NV
Legal business name
SUNSET CLINIC
Practice address
4830 W Lone Mountain Rd
Las Vegas, NV 89130-2239
Phone
(702) 645-8555
Fax
(702) 645-2828
NPI assigned
Feb 24, 2010
Reactivated
Apr 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Dr. Mehrdad Mark Ferdowsian, D.O
Title
Medical Director
Phone
(702) 589-5135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1019 NV Primary

Addresses

Primary practice location

4830 W Lone Mountain Rd
Las Vegas, NV 89130-2239

Mailing address

4830 W Lone Mountain Rd
Las Vegas, NV 89130-2239
Phone (702) 645-8555

National Provider Directory

National Provider Directory

Interoperability endpoints

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

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1831411313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 W LONE MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302239",
            "telephone_number": "702-645-8555",
            "fax_number": "702-645-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 W LONE MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302239",
            "telephone_number": "702-645-8555",
            "fax_number": "702-645-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2012-04-13",
        "deactivation_date": "2011-01-27",
        "reactivation_date": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "FERDOWSIAN",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-589-5135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": "1019",
            "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 Apr 13, 2012; 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.