NPIMap

Individual provider Active NPI

Jasmine Pedroso, M.D.

  • Obstetrics Physician
  • Henderson, NV
National Provider Identifier
1962632216
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
14941 Issued in NV
Practice address
880 Seven Hills Dr
#140
Henderson, NV 89052-4371
Phone
(702) 255-3547
Fax
(702) 921-2419
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics Physician 207VX0000X 14941 NV Primary

Addresses

Primary practice location

880 Seven Hills Dr
#140
Henderson, NV 89052-4371

Mailing address

9260 W Sunset Rd
# 200
Las Vegas, NV 89148-4858
Phone (702) 255-3547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vios Fertility Institute Chicago Past Accepting new patients
Peach State Medical Practice, PC Past Accepting new patients
Peach State Medical Practice, PC Past Accepting new patients
Reena Jabamoni MDSC Past Accepting new patients
Fahimeh Sasan,D.O., P.C Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jpedroso564832@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1962632216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9260 W SUNSET RD",
            "address_2": "# 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484858",
            "telephone_number": "702-255-3547",
            "fax_number": "702-921-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SEVEN HILLS DR",
            "address_2": "#140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524371",
            "telephone_number": "702-255-3547",
            "fax_number": "702-921-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDROSO",
        "first_name": "JASMINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NV",
            "license": "14941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 1, 2017; 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.