NPIMap

Organization Active NPI

Santa Rosa Medical Centers of Nevada, Inc.

  • Clinic Pharmacy
  • Las Vegas, NV
National Provider Identifier
1831821867
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
SANTA ROSA MEDICAL CENTERS OF NEVADA, INC.
Practice address
7021 Spring Mountain Rd Ste 7021
Las Vegas, NV 89117-3818
Phone
(702) 803-2222
Fax
(702) 989-4755
NPI assigned
Jun 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Syed Irshad Pervaiz
Title
Managing Director
Phone
(702) 803-2222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary
Home Infusion Therapy Pharmacy 3336H0001X

Addresses

Primary practice location

7021 Spring Mountain Rd Ste 7021
Las Vegas, NV 89117-3818

Mailing address

4161 S Eastern Ave Ste B3
Las Vegas, NV 89119-5483
Phone (702) 803-2222

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2203607Santa Rosa Medical Center of Nevada Inc7021 Spring Mountain Rd, Las Vegas, NV 89117Certificate of waiverDec 3, 2026

National Provider Directory

National Provider Directory
Tax ID family
Santa Rosa Medical Centers of Nevada Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7021 Spring Mountain Rd
Ste 7021
Las Vegas, NV 89117
Phone (702) 803-2222

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1831821867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 S EASTERN AVE STE B3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195483",
            "telephone_number": "702-803-2222",
            "fax_number": "702-989-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7021 SPRING MOUNTAIN RD STE 7021",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173818",
            "telephone_number": "702-803-2222",
            "fax_number": "702-989-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA MEDICAL CENTERS OF NEVADA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "PERVAIZ",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "IRSHAD",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "702-803-2222"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.