Petar Jamborcic, MD, a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14006 Issued in NV

Legal business name

PETAR JAMBORCIC, MD, A PROFESSIONAL CORPORATION

Practice address

8285 W Arby Ave Ste 390
Las Vegas, NV 89113-2237

Phone

(702) 614-1250

NPI assigned

Jan 4, 2007

Last updated

Jul 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryn M Rodriguez, MD

Title

Owner

Phone

(323) 213-5884

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1942357017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8285 W ARBY AVE STE 390",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132237",
            "telephone_number": "702-614-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 W ARBY AVE STE 390",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132237",
            "telephone_number": "702-614-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETAR JAMBORCIC, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "BRYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-213-5884",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "14006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942357017",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leon Agcaoili Pescasio
• Maria Pilar R Pesigan
• Sapphire Pesina
• Ankica Peskir
• April Pesti
• Silverio Petatan Calleja
• Daisy Petatan- Chavez
• Eugen Petculescu
• Olga Petculescu
• Brooke Petefish, LAT, ATC

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.