Westteam Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

V101990 Issued in NV

Legal business name

WESTTEAM CORP

Practice address

3430 E Flamingo Rd
Suite 302
Las Vegas, NV 89121-5003

Phone

(702) 628-4649

NPI assigned

Jun 13, 2014

Organization subpart

No

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

Authorized official

Name

Yoelvis Gamboa, CEO

Title

President

Phone

(702) 628-4649

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1881008183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD",
            "address_2": "SUITE 302",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215003",
            "telephone_number": "702-628-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD",
            "address_2": "SUITE 302",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215003",
            "telephone_number": "702-628-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTTEAM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "GAMBOA",
        "authorized_official_first_name": "YOELVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-628-4649",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NV",
            "license": "V101990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL INSURANCES",
            "identifier": "WESTALL14",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Westphalen
• Kellen Scott Westra, DO
• Farah Michelle Westreich, OTR
• Hilary Westrom, M.F.T.
• Westside Cardiology
• Jody E Wetzel
• Lisa Lee Wetzel, M.S., MFT
• Mikayla Lorryn Wetzel
• Teresita Wetzel
• Renard Henri Weyers

• General Practice Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.