NPIMap

Organization Active NPI

North Vista Physicians, Inc.

  • Orthopaedic Surgery of the Spine Physician
  • North Las Vegas, NV
National Provider Identifier
1912277641
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
NV 13268 Issued in NV
Legal business name
NORTH VISTA PHYSICIANS, INC.
Practice address
1815 E Lake Mead Blvd
Suite 100
North Las Vegas, NV 89030-7187
Phone
(702) 657-1506
Fax
(702) 657-1583
NPI assigned
Jan 11, 2012
Last updated
Mar 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Vincenzo Variale
Title
Authorized Official
Phone
(702) 649-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X NV 13268 NV Primary

Addresses

Primary practice location

1815 E Lake Mead Blvd
Suite 100
North Las Vegas, NV 89030-7187

Mailing address

1409 E Lake Mead Blvd
North Las Vegas, NV 89030-7120
Phone (702) 649-7711

Other identifiers 1

IdentifierTypeStateIssuer
1912277641MedicaidNV

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1409 E Lake Mead Blvd
North Las Vegas, NV 89030
Phone (702) 649-7711

1815 E Lake Mead Blvd
Ste 100
North Las Vegas, NV 89030
Phone (702) 657-1506

3940 W Ann Rd
Ste 200
North Las Vegas, NV 89031
Phone (702) 724-0058

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1912277641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 E LAKE MEAD BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307120",
            "telephone_number": "702-649-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E LAKE MEAD BLVD",
            "address_2": "SUITE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307187",
            "telephone_number": "702-657-1506",
            "fax_number": "702-657-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VISTA PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "VARIALE",
        "authorized_official_first_name": "VINCENZO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "702-649-7711"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NV",
            "license": "NV 13268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912277641",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.