LAS VEGAS KIDNEY CLINIC INC. (NPI# 1245234145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245234145 |
| Entity Type | Organization |
| Organization Name | LAS VEGAS KIDNEY CLINIC INC. |
| Practice Address |
1905 Civic Center Dr Ste 201 North Las Vegas NV 89030-7116 |
| Practice Telephone | 7022149516 |
| Practice Fax Number | 7022149415 |
| Mailing Telephone | 7022149516 |
| Mailing Fax Number | 7022149415 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2008-06-06 |
| Authorized Official Name | MR. GALEN ROBERT BENNETT (ADMINISTRATOR) |
| Authorized Official Telephone | 7022149516 |
| Authorized Official Credential | BSBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
3221ESR3 | NV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100501915 | 05 |
| Street Address |
1905 CIVIC CENTER DR STE 201 |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89030-7116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205184801 | Bio-medical Applications of Nevada, Inc. | Clinic/Center | 1905 Civic Center Dr, Suite 201, North Las Vegas, NV 89030-7143 | 2012-08-29 |
| 1114201704 | Suraj Pratap | Pediatrics | 1905 Civic Center Dr, North Las Vegas, NV 89030-7143 | 2011-10-01 |
| 1003144858 | Sandra Lipovaca | Pediatrics | 1905 Civic Center Dr, North Las Vegas, NV 89030-7143 | 2009-12-04 |
| 1669461455 | Ammar Wehbeh | Obstetrics & Gynecology | 1905 Civic Center Dr, North Las Vegas, NV 89030-7116 | 2005-10-14 |
| 1649268913 | Guadalupe R Dominguez | Physician Assistant | 1905 Civic Center Dr, North Las Vegas, NV 89030-7143 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
| 1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
| 1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
| 1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
| 1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
| 1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
| 1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
| 1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
| 1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
| Find all providers in zip 89030 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854007 | Fortitude Sport & Spine | Clinic/Center | 878 Dancing Vines Ave, Las Vegas, NV 89183-6317 | 2020-09-01 |
| 1366077018 | Daniel Taheri Md PC | Clinic/Center | 2960 Saint Rose Pkwy Ste 120, Henderson, NV 89052-5033 | 2020-03-03 |
| 1164057816 | Daniel Taheri Md PC | Clinic/Center | 340 Falcon Ridge Pkwy Ste 202b, Mesquite, NV 89027-8851 | 2020-03-03 |
| 1831724582 | Daniel Taheri Md PC | Clinic/Center | 5550 Painted Mirage Rd Ste 200, Las Vegas, NV 89149-4592 | 2020-03-03 |
| 1225550940 | Holman Chan Md., Pllc | Clinic/Center | 1392 Quiet River Ave, Henderson, NV 89012-7219 | 2017-07-14 |
| 1801228275 | Quan Haduong, Md Ltd | Clinic/Center | 2420 Professional Ct Ste 110, Las Vegas, NV 89128-0837 | 2013-08-07 |
| 1346483369 | Caughlin Ranch Fetal Imaging Center | Clinic/Center | 6502 S Mccarran Blvd, Suite B, Reno, NV 89509-6161 | 2009-04-07 |
| 1073771796 | Northern Nevada Hyperbarics, Inc. | Clinic/Center | 1500 E 2nd St Ste 104, Reno, NV 89502-1189 | 2008-05-29 |
| 1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
| 1164599478 | Sierra Neurology LLP | Clinic/Center | 896 W Nye Ln, Suite 203, Carson City, NV 89703-1544 | 2006-11-29 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89030 |
Please comment or provide details below to improve the information on LAS VEGAS KIDNEY CLINIC INC..
| 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.