Organization Active NPI

Nevada Anesthesia Consortium PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Henderson, NV
National Provider Identifier
1942926126
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
NEVADA ANESTHESIA CONSORTIUM PLLC
Practice address
1748 W Horizon Ridge Pkwy
Henderson, NV 89012-4833
Phone
(702) 982-1300
Fax
(702) 728-5661
NPI assigned
Oct 18, 2022
Last updated
Oct 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Daniel E Fabito, MDNPI 1942232475
Title
Owner
Phone
(702) 556-6943

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1748 W Horizon Ridge Pkwy
Henderson, NV 89012-4833

Mailing address

1000 N Green Valley Pkwy # 440-532
Henderson, NV 89074-6170

Other practice location 1

1050 S Rainbow Blvd
Las Vegas, NV 89145-6231
Phone (702) 802-3456

Other practice location 2

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

Other practice location 3

100 N Green Valley Pkwy Ste 125
Henderson, NV 89074-6392
Phone (702) 616-4954

Other practice location 4

1330 S Valley View Blvd
Las Vegas, NV 89102-1865
Phone (702) 675-4600

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://caaadkapp.ecwcloud.com/mobiledoc/jsp/webemr/login/newLogin.jsp

National Provider Directory

National Provider Directory

Locations

1000 N Green Valley Pkwy
#440532
Henderson, NV 89074

Practitioners & affiliated clinicians

Practitioners 1

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": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1942926126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N GREEN VALLEY PKWY # 440-532",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 W HORIZON RIDGE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124833",
            "telephone_number": "702-982-1300",
            "fax_number": "702-728-5661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 S Rainbow Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891456231",
            "country_code": "US",
            "telephone_number": "702-802-3456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022329",
            "country_code": "US",
            "telephone_number": "702-383-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Green Valley Pkwy Ste 125",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890746392",
            "country_code": "US",
            "telephone_number": "702-616-4954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 S Valley View Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021865",
            "country_code": "US",
            "telephone_number": "702-675-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEVADA ANESTHESIA CONSORTIUM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "FABITO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-556-6943",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://caaadkapp.ecwcloud.com/mobiledoc/jsp/webemr/login/newLogin.jsp",
            "affiliation": "N",
            "address_1": "1748 W Horizon Ridge Pkwy",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890124833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.