MEDICARE: SANTA ROSA MEDICAL CENTERS OF NEVADA, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1417756776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTA ROSA MEDICAL CENTERS OF NEVADA, INC

Provider Business Mailing Address
First Line	:	4161 S EASTERN AVE STE B3
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5483
Country	:	US
Telephone Number	:	702-693-6222
Fax Number	:	702-369-6504

Provider Business Practice Location Address
First Line	:	9310 S EASTERN AVE STE 123
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-6844
Country	:	US
Telephone Number	:	702-693-6222
Fax Number	:	702-369-6504

Authorized Official
Title or Position	:	OWNER
Name	:	SYED IRSHAD PERVAIZ
Credential	:	MD
Telephone Number	:	702-693-6222

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	03/10/2025

Similar Medicare Providers

1144717067 — LYNNE BARBARA ULEVICH PA-C
Practice Location Address:

9310 S EASTERN AVE STE 122
LAS VEGAS, NV
89123-6844

Practice Phone: 702-489-3300
Practice Fax:

1356284178 — SHANIA EDRADA
Practice Location Address:

8628 MESQUITE HILLS ST
LAS VEGAS, NV
89139-6844

Practice Phone: 808-295-1815
Practice Fax:

1447693387 — MICHELLI KALTSAS
Practice Location Address:

6844 SCARLET FLAX ST
LAS VEGAS, NV
89148-4830

Practice Phone: 702-601-2919
Practice Fax:

1104226810 — JOSHUA SCOTT
Practice Location Address:

6844 SCARLET FLAX ST
LAS VEGAS, NV
89148-4830

Practice Phone: 702-910-9345
Practice Fax:

1235993346 — ALEXANDER CONTRERAS
Practice Location Address:

4720 E ROCHELLE AVE
LAS VEGAS, NV
89121-6844

Practice Phone: 702-612-9661
Practice Fax:

1851898423 — MS. JACQUELINE M MERAZ
Practice Location Address:

4020 N VALLEY DR
LAS CRUCES, NM
88007-6844

Practice Phone: 575-571-2724
Practice Fax: 575-571-2724

Directions to “SANTA ROSA MEDICAL CENTERS OF NEVADA, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.