ATHLETE ADVANTAGE MEDICAL (NPI# 1578180469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578180469 |
| Entity Type | Organization |
| Organization Name | ATHLETE ADVANTAGE MEDICAL |
| Practice Address |
6771 W Charleston Blvd Ste B Las Vegas NV 89146-9016 |
| Practice Telephone | 8006749515 |
| Practice Fax Number | 7029885154 |
| Mailing Telephone | 8006749515 |
| Mailing Fax Number | 7025082435 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | NICK SADEGHI (OWNER) |
| Authorized Official Telephone | 7029825938 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100500132 | 05 |
| Street Address |
6771 W CHARLESTON BLVD STE B |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-9016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415654 | Sadeghi Medical Services Ltd | Emergency Medicine | 6771 W Charleston Blvd Ste B, Las Vegas, NV 89146-9016 | 2020-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588219117 | Spring Valley Medical Center | Emergency Medicine | 9217 S Cimarron Rd, Las Vegas, NV 89178 | 2019-08-09 |
| 1245740133 | Insight Medical Associates LLC | Emergency Medicine | 500 N Rainbow Blvd Ste 300-230, Las Vegas, NV 89107-1082 | 2017-10-04 |
| 1912438763 | Dominic Diprinzio | Emergency Medicine | 901 Ranch Lane, Suite 135, Las Vegas, NV 89106 | 2017-03-23 |
| 1740643998 | Ryan Patrick Casarella | Emergency Medicine | 653 N Town Center Dr # 657, Las Vegas, NV 89144-0514 | 2016-04-04 |
| 1437548906 | Clinic 21 of Nevada Zyniewicz Pllc | Emergency Medicine | 5216 Boulder Hwy, Suite 105, Las Vegas, NV 89122-6074 | 2015-01-21 |
| 1114189917 | Stephanos Paraskevas Orphanidis | Emergency Medicine | 8670 W Cheyenne Ave Ste 120, Maimonides Medical Center Department of Emergency Med, Las Vegas, NV 89129-7457 | 2008-07-02 |
| 1104011527 | Joeann K Leong | Emergency Medicine | 8670 West Cheyenne Avenue, Suite 120, Las Vegas, NV 89129 | 2007-09-10 |
| 1376741256 | Jack Sui Ki Chan | Emergency Medicine | 1350 N Town Center Dr Unit 1033, Las Vegas, NV 89144-0577 | 2007-07-03 |
| 1700087392 | Jason Donovan Klein | Emergency Medicine | 9880 W Flamingo Rd, Las Vegas, NV 89147-8085 | 2007-05-30 |
| 1982816989 | Nathan J Cleveland | Emergency Medicine | 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 | 2007-05-04 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on ATHLETE ADVANTAGE MEDICAL.
| 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.