DR. JOSE ROSAS BACALA (NPI# 1023372612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023372612 |
| Entity Type | Individual |
| Full Name | DR. JOSE ROSAS BACALA |
| Credential | M.D. |
| Practice Address |
6850 N Durango Dr Suite 208 Las Vegas NV 89149-4595 |
| Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
| Practice Telephone | 7029520999 |
| Practice Fax Number | 7029520998 |
| Mailing Telephone | 7022163346 |
| Mailing Fax Number | 7026716883 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2016-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 16237 | NV | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 4301101427 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1023372612 | 05 |
| Street Address |
6850 N DURANGO DR SUITE 208 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89149-4595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710986997 | Tammy Rose Kelly | Obstetrics & Gynecology | 6850 N Durango Dr, Ste 310, Las Vegas, NV 89149-4595 | 2005-07-19 |
| 1356700843 | April Marie Grochowalski | Physician Assistant | 6850 N Durango Dr, Ste. 310, Las Vegas, NV 89149-4595 | 2016-02-12 |
| 1588042345 | Keshia Pickens | Physician Assistant | 6850 N Durango Dr, Suite 204, Las Vegas, NV 89149-4595 | 2015-05-13 |
| 1982002283 | Pk Bhatnagar Md, PC | Surgery | 6850 N Durango Dr, Suite 204, Las Vegas, NV 89149-4595 | 2014-12-18 |
| 1790199842 | Yee Advanced Orthopedics & Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 6850 N Durango Dr, 218, Las Vegas, NV 89149-4595 | 2014-06-17 |
| 1982949939 | Bellevue Health Institute Inc | Clinic/Center | 6850 N Durango Dr, Suite 302, Las Vegas, NV 89149-4595 | 2012-12-03 |
| 1043508427 | Kwok Lun Wong | Family Medicine | 6850 N Durango Dr, #208, Las Vegas, NV 89149-4595 | 2011-07-19 |
| 1043506744 | Shirley Rodriguez | Family Medicine | 6850 N Durango Dr, Las Vegas, NV 89149-4595 | 2011-06-22 |
| 1760789481 | Santos Interventional Pain Medicine P.C. | Pain Medicine | 6850 N Durango Dr, Ste 312, Las Vegas, NV 89149-4595 | 2011-02-15 |
| 1912139890 | Medical Internists of Nevada LLC | Internal Medicine | 6850 N Durango Dr, Suite 210, Las Vegas, NV 89149-4595 | 2009-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796226 | Thompson Dental Pllc | Dentist | 9859 W. Deer Springs Way, Ste. 110, Las Vegas, NV 89149 | 2020-10-08 |
| 1699384941 | Dignity Select Nevada, LLC | Clinic/Center | 8675 W Rome Blvd, Las Vegas, NV 89149 | 2020-07-23 |
| 1225656945 | Vanlue Orthodontics, PC | Clinic/Center | 9855 W. Deer Springs Way, Suite 150, Las Vegas, NE 89149 | 2020-07-09 |
| 1285292052 | Dianne Pana | Physical Therapist | 351 N Fort Apache Rd, Las Vegas, NV 89149 | 2019-06-05 |
| 1477118198 | Cece Group Home, LLC | Community Based Residential Treatment Facility, Mental Illness | 5417 Ireland St, Las Vegas, NV 89149 | 2019-05-08 |
| 1790242543 | Carl Anthony Llanos Plaza | Nurse Practitioner | 6440 W Centennial Pkwy, Unit 155, Las Vegas, NV 89149 | 2019-02-28 |
| 1932664158 | Lychee Holdings, LLC | Skilled Nursing Facility | 8565 W Rome Blvd, Las Vegas, NV 89149 | 2019-02-01 |
| 1366976276 | Pam Squared At Las Vegas, LLC | Rehabilitation Hospital | 6166 North Durango Drive, Las Vegas, NV 89149 | 2017-04-18 |
| 1083076269 | Kristopher Kevin Kleinman | Registered Nurse | 5550 Painted Mirage Rd Ste 217, Las Vegas, NV 89149 | 2016-03-25 |
| 1326428962 | Kimberly Vialpando | Physical Therapist | 6351 N. Forte Apache Road, Las Vegas, NV 89149 | 2015-06-08 |
| Find all providers in zip 89149 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1558968420 | Neuro Health LLC | Family Medicine | 7455 W Washington Ave Ste 140, Las Vegas, NV 89128-4349 | 2020-10-05 |
| 1154934131 | Body & Mind Uplifment LLC | Family Medicine | 2215 Renaissance Dr Ste A, Las Vegas, NV 89119-6723 | 2020-08-28 |
| 1639788599 | Telelab | Family Medicine | 7881 W Charleston Blvd Ste 230, Las Vegas, NV 89117-8327 | 2020-07-27 |
| 1629687926 | Maria Habbi Md | Family Medicine | 501 S Rancho Dr Ste F40, Las Vegas, NV 89106-4834 | 2020-07-23 |
| 1225646805 | Shelley Elizabeth Ameduri | Family Medicine | 3943 Deluge Dr, Las Vegas, NV 89129-6481 | 2020-07-20 |
| 1659995090 | Universal Medical Alliance Inc. | Family Medicine | 6268 Spring Mountain Rd Ste 115b, Las Vegas, NV 89146-8873 | 2020-06-02 |
| 1255954640 | Partners In Primary Care Nv PC | Family Medicine | 4919 W Craig Rd, Las Vegas, NV 89130-2730 | 2020-05-20 |
| 1669095048 | Partners In Primary Care Nv PC | Family Medicine | 4813 S Eastern Ave, Las Vegas, NV 89119-6188 | 2020-05-20 |
| 1184247579 | Partners In Primary Care Nv PC | Family Medicine | 3129 N Rainbow Blvd, Las Vegas, NV 89108-4578 | 2020-05-20 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.