JSA PROFESSIONAL ASSOCIATION NPI 1619906211

NPI Information

  • NPI: 1619906211
  • Provider Name: JSA PROFESSIONAL ASSOCIATION
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: SUMMIT MEDICAL GROUP AND HEALTHCARE PARTNERS OF NEVADA
  • Address: 700 E WARM SPRINGS RD
    SUITE 300
    LAS VEGAS, NV
    ZIP 89119
  • Phone: (702) 932-8547

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NPI Details

JSA PROFESSIONAL ASSOCIATION is an internal medicine in Las Vegas, NV. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. JSA PROFESSIONAL ASSOCIATION NPI is 1619906211. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Summit Medical Group And Healthcare Partners Of Nevada.

The provider's business location address is:

700 E WARM SPRINGS RD
SUITE 300
LAS VEGAS, NV
ZIP 89119-305
Phone: (702) 932-8547
Fax: (702) 932-8586

The provider's authorized official is Bruce W Frieman .
The authorized official title is President, Secretary And Treasurer and has the following contact phone number (727) 824-0780.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 8/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1102496MEDICARE PINNEVADA
2V102496MEDICARE PINNEVADA
3100509715MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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