MEDICARE: JAVIER KAMISATO M.D.

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	6939	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902943434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAVIER KAMISATO M.D.

Provider Business Mailing Address
First Line	:	1301 MARYLAND PARKWAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104
Country	:	US
Telephone Number	:	702-458-3800
Fax Number	:	702-642-5671

Provider Business Practice Location Address
First Line	:	1301 MARYLAND PARKWAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104
Country	:	US
Telephone Number	:	702-458-3800
Fax Number	:	702-642-5671

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	05/18/2012

Similar Medicare Providers

1972372449 — MIKAELA ESTRADA MSW/LMSW
Practice Location Address:

2000 S EASTERN AVE STE S
LAS VEGAS, NV
89104-4100

Practice Phone: 702-300-6493
Practice Fax:

1174471924 — JERMARLON DEMOND GRIFFIN
Practice Location Address:

1640 E SAHARA AVE STE K
LAS VEGAS, NV
89104-3491

Practice Phone: 702-483-6302
Practice Fax:

1386592020 — DORELYS MORALES MARTINEZ
Practice Location Address:

2150 S EASTERN AVE
LAS VEGAS, NV
89104-4109

Practice Phone: 702-207-0842
Practice Fax:

1972451623 — MILDRED LAVONNE LARRY
Practice Location Address:

1820 E SAHARA AVE STE 114
LAS VEGAS, NV
89104-3736

Practice Phone: 702-262-1202
Practice Fax:

1962242081 — ADRIENNE RUEZ FLECK
Practice Location Address:

4461 E CHARLESTON BLVD
LAS VEGAS, NV
89104-5537

Practice Phone: 702-791-9077
Practice Fax:

1043896806 — ARCHER E GRIMLEY MD
Practice Location Address:

1820 E SAHARA AVE STE 201
LAS VEGAS, NV
89104-3721

Practice Phone: 702-979-1111
Practice Fax: 702-979-6227

1508018060 — LAUREN GRACE MARTIN APRN
Practice Location Address:

552 E CHARLESTON BLVD
LAS VEGAS, NV
89104-1319

Practice Phone: 702-440-8440
Practice Fax: 866-518-0781

Directions to “ JAVIER KAMISATO M.D.” 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.