Active NPI
Crescent Medical
- Internal Medicine Physician
- Pahrump, NV
National Provider Identifier
1891552659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CRESCENT MEDICAL
- Practice address
- 330 S. Lola Lane
Suite 200
Pahrump, NV 89048 - Phone
- (928) 542-1221
- Fax
- (928) 768-2874
- NPI assigned
- Feb 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Irfan Muhammad Mirza, M.D.
- Title
- President/Owner
- Phone
- (928) 542-1221
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X |
Addresses
Primary practice location
330 S. Lola Lane
Suite 200
Pahrump, NV 89048
Mailing address
5653 S. Hwy 95,
Suite a
Fort Mohave, AZ 86426-6068
Phone (928) 768-2558
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709078400000",
"number": "1891552659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5653 S. HWY 95,",
"address_2": "SUITE A",
"city": "FORT MOHAVE",
"state": "AZ",
"postal_code": "864266068",
"telephone_number": "928-768-2558",
"fax_number": "928-768-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 S. LOLA LANE",
"address_2": "SUITE 200",
"city": "PAHRUMP",
"state": "NV",
"postal_code": "89048",
"telephone_number": "928-542-1221",
"fax_number": "928-768-2874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRESCENT MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-28",
"last_updated": "2024-02-28",
"status": "A",
"authorized_official_last_name": "MIRZA",
"authorized_official_first_name": "IRFAN",
"authorized_official_middle_name": "MUHAMMAD",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "928-542-1221",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pahrump, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.