Organization Active NPI

Okamoto PLLC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1831737329
Registry record updated Dec 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OKAMOTO PLLC
Practice address
4276 Spring Mountain Rd Unit 212
Las Vegas, NV 89102-8781
Phone
(702) 802-8567
NPI assigned
Dec 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2019

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

Authorized official

Name
Rafael Okamoto, MD
Title
Owner
Phone
(702) 802-8567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4276 Spring Mountain Rd Unit 212
Las Vegas, NV 89102-8781

Mailing address

4276 Spring Mountain Rd Unit 212
Las Vegas, NV 89102-8781
Phone (702) 802-8567

Other names 1

  • Spring Mountain Aesthetics Doing business as

National Provider Directory

National Provider Directory

Locations

4276 Spring Mountain Rd
Unit 212
Las Vegas, NV 89102
Phone (702) 802-8567

NPI Registry JSON

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

{
    "created_epoch": "1576368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576368000000",
    "number": "1831737329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4276 SPRING MOUNTAIN RD UNIT 212",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028781",
            "telephone_number": "702-802-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4276 SPRING MOUNTAIN RD UNIT 212",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028781",
            "telephone_number": "702-802-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKAMOTO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-15",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A",
        "authorized_official_last_name": "OKAMOTO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-802-8567",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Mountain Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 15, 2019; 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.