SILVER STATE CARDIOLOGY LLC NPI 1659680635

NPI Information

  • NPI: 1659680635
  • Provider Name: SILVER STATE CARDIOLOGY, LLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • CLIA Number: 29D2236261
  • Address: 4200 W CHARLESTON BLVD BLDG A
    LAS VEGAS, NV
    ZIP 89102
  • Phone: (702) 683-7876

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NPI Details

SILVER STATE CARDIOLOGY, LLC is a cardiovascular disease internal medicine in Las Vegas, NV. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SILVER STATE CARDIOLOGY, LLC NPI is 1659680635. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4200 W CHARLESTON BLVD BLDG A
LAS VEGAS, NV
ZIP 89102-625
Phone: (702) 683-7876
Fax: (702) 331-5764

The provider's authorized official is Jose Aquino .
The authorized official title is Owner/officer and has the following contact phone number (702) 270-2721.

The CLIA number assigned to this NPI record is 29D2236261 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/24/2010 and was last updated on 11/19/2012.

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
1207RC0000XInternal MedicineCardiovascular Disease9278NEVADAYes

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
1DR3800OTHERRR MEDICARE PTAN
2EN355AOTHERNEVADAMEDICARE PTAN

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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