NPIMap

Organization Active NPI

Leo J. Capobianco, D.O., LTD.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1891163770
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LEO J. CAPOBIANCO, D.O., LTD.
Practice address
6120 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-6760
Phone
(702) 602-5444
Fax
(702) 602-5454
NPI assigned
Sep 9, 2015
Organization subpart
Yes
Parent organization
LEO J. CAPOBIANCO, D.O. LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Dr. Leo Capobianco, D.O.
Title
Medical Director
Phone
(702) 684-7800

Specialties & licenses 1

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

Addresses

Primary practice location

6120 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-6760

Mailing address

2801 N Tenaya Way Ste C
Las Vegas, NV 89128-1400
Phone (702) 684-7800

Other names 1

  • Doctors Center Southwest Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Doctors Center at Red Rock Capobianco PLLC2 organizations share this tax ID, including this one
Part of
Doctors Center at Red Rock Capobianco PLLC

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1891163770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N TENAYA WAY STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281400",
            "telephone_number": "702-684-7800",
            "fax_number": "702-684-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486760",
            "telephone_number": "702-602-5444",
            "fax_number": "702-602-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO J. CAPOBIANCO, D.O., LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEO J. CAPOBIANCO, D.O. LTD.",
        "enumeration_date": "2015-09-09",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "CAPOBIANCO",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-684-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Center Southwest",
            "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 Jul 26, 2023; 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.