Agapito Racoma, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

6553 Issued in NV

Practice address

7000 Spring Mountain Rd
Las Vegas, NV 89117-3816

Phone

(702) 239-7905

Fax

(775) 751-0405

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Porferia D Montesclaros, MD, LLC

  dba Porferia D Montesclaros, MD

  • Geriatric Psychiatry Physician
  • Las Vegas, NV
  • NPI 1144266537
  NPD (past)
• Porferia Montesclaros MD LLC

  • Psychiatry Physician
  • Henderson, NV
  • NPI 1417154188
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1952326282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 S RAINBOW BLVD # 134",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456238",
            "fax_number": "775-751-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SPRING MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173816",
            "telephone_number": "702-239-7905",
            "fax_number": "775-751-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACOMA",
        "first_name": "AGAPITO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "6553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019328",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachna Gupta, D.O., P.C. (Desert Eye Care)
• Deborah Renee Racine
• Leah Nicole Racine
• Anita Racke
• Jhanh Rackley
• Laura Racoma
• Fely Mapugay Racuya
• Omid Rad Pour, MD
• Gabriela Rada
• Colin Radabaugh, DO

• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.