Las Vegas Sports and Spine Center

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

LAS VEGAS SPORTS AND SPINE CENTER

Practice address

1009 S Cimarron Rd
Las Vegas, NV 89145-2447

Phone

(702) 707-7246

NPI assigned

Oct 12, 2021

Organization subpart

No

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

Authorized official

Name

Reekesh R Patel, MDNPI 1043446982

Title

Owner

Phone

(213) 465-0994

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 7

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

• Alyssa Kiat-Ong

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1740954452
  Medicare reassignment Care Compare group NPD
• Kunal R Parikh, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Las Vegas, NV
  • NPI 1639313802
  Medicare reassignment Care Compare group NPD
• Amanda Vietti, APRN

  • Family Nurse Practitioner
  • North Las Vegas, NV
  • NPI 1699475152
  Medicare reassignment Care Compare group NPD
• Reekesh R Patel, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hawthorne, CA
  • NPI 1043446982

  NV

  Medicare reassignment NPD Authorized official
• Christina Marie Flitcraft, APRN, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1023665452
  Medicare reassignment NPD
• Autumn L Baker, APRN

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1427717990
  NPD (past)
• Parth Jayesh Vyasa, MD

  • Physical Medicine & Rehabilitation Physician
  • North Las Vegas, NV
  • NPI 1295222420
  NPD (past)

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1972265338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25239",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900250239",
            "telephone_number": "702-707-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 S CIMARRON RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891452447",
            "telephone_number": "702-707-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS SPORTS AND SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "REEKESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-465-0994",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Las Vegas Skin and Cancer Clinics LTD
• Las Vegas Sleep Center Shamiya PLLC
• Las Vegas Sleep Treatment LLC
• Las Vegas Solari Hospice Care LLC
• Las Vegas Spine Injury Centers LLC
• Las Vegas Surgery Center LLC
• Las Vegas Surgical Associates LLP
• Las Vegas Surgical Associates, LLP
• Las Vegas Surgical Care
• Las Vegas Surgicare LTD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.