Organization Active NPI

Estela O Racoma,M.D.,LLC

  • Pediatrics Physician
  • Pahrump, NV
National Provider Identifier
1922271972
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ESTELA O RACOMA,M.D.,LLC
Practice address
2620 Acoma Ave
Pahrump, NV 89048-4737
Phone
(775) 751-0754
Fax
(775) 751-0405
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Dr. Estela Oliva Racoma, M.D.
Title
Owner
Phone
(775) 751-0754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2620 Acoma Ave
Pahrump, NV 89048-4737

Mailing address

2620 Acoma Ave
Pahrump, NV 89048-4737
Phone (775) 751-0754

Other names 1

  • Rainbow Pediatrics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1922271972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ACOMA AVE",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890484737",
            "telephone_number": "775-751-0754",
            "fax_number": "775-751-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 ACOMA AVE",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890484737",
            "telephone_number": "775-751-0754",
            "fax_number": "775-751-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTELA O RACOMA,M.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "RACOMA",
        "authorized_official_first_name": "ESTELA",
        "authorized_official_middle_name": "OLIVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-751-0754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 14, 2013; 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.