NPIMap

Organization Active NPI

Golden Bamboo Acupuncture PLLC

  • Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1962192740
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GOLDEN BAMBOO ACUPUNCTURE PLLC
Practice address
3663 E Sunset Rd Ste 102G
Las Vegas, NV 89120-3246
Phone
(702) 758-6799
NPI assigned
May 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Roberto Irawan, OMDNPI 1477243251
Title
Owner
Phone
(702) 758-6799

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3663 E Sunset Rd Ste 102G
Las Vegas, NV 89120-3246

Mailing address

3663 E Sunset Rd Ste 102G
Las Vegas, NV 89120-3246
Phone (702) 758-6799

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1962192740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 E SUNSET RD STE 102G",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203246",
            "telephone_number": "702-758-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 E SUNSET RD STE 102G",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203246",
            "telephone_number": "702-758-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN BAMBOO ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "IRAWAN",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-758-6799",
        "authorized_official_credential": "OMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.