HEALTH CARE CENTER OF SOUTHERN NEVADA (NPI# 1639280118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639280118 |
| Entity Type | Organization |
| Organization Name | HEALTH CARE CENTER OF SOUTHERN NEVADA |
| Practice Address |
2842 E Lake Mead Blvd North Las Vegas NV 89030-6548 |
| Mailing Address |
Po Box 97075 Las Vegas NV 89193-7075 |
| Practice Telephone | 7023142400 |
| Practice Fax Number | 7023142405 |
| Mailing Telephone | 7023142400 |
| Mailing Fax Number | 7023142405 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. NONG SABIO (OFFICE MANAGER) |
| Authorized Official Telephone | 7023142400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
54847 | NV | Allopathic & Osteopathic Physicians |
| X | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
54847 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
2842 E LAKE MEAD BLVD |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89030-6548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386285773 | Crystal Marie Myles | Rehabilitation Practitioner | 2842 E Lake Mead Blvd, North Las Vegas, NV 89030-6548 | 2019-10-07 |
| 1962054940 | Andrew Nicholson | Behavioral Analyst | 2842 E Lake Mead Blvd, North Las Vegas, NV 89030-6548 | 2019-07-10 |
| 1366000713 | Shawn Joshua Richardson | Rehabilitation Practitioner | 2842 E Lake Mead Blvd, North Las Vegas, NV 89030-6548 | 2019-05-31 |
| 1023568037 | Meilan L Daguman Aprn Pllc | Nurse Practitioner | 2842 E Lake Mead Blvd, North Las Vegas, NV 89030-6548 | 2016-10-13 |
| 1083089874 | Meilan L Daguman | Registered Nurse | 2842 E Lake Mead Blvd, North Las Vegas, NV 89030-6548 | 2015-12-06 |
| 1093856130 | Fusae Mary Wicks | Nurse Practitioner | 2842 E Lake Mead Blvd, North Las Vegas, NV 89030 | 2007-02-10 |
| 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 | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516713 | Teammd Physicians PC | Family Medicine | 9850 Double R Blvd Fl 2, Reno, NV 89521-3103 | 2020-01-06 |
| 1992207104 | Sibel Infusion Centers Sonpatki Pllc | Family Medicine | 8930 W Sunset Rd Ste 100, Las Vegas, NV 89148-5009 | 2018-03-03 |
| 1811265887 | Paul William Knoop | Family Medicine | 1500 Greensburg Cir, Reno, NV 89509-6833 | 2011-12-06 |
| 1184761876 | Unsom Multispecialty Group Practice North, Inc | Family Medicine | Unr Brigham Building, 123 17th Street, Reno, NV 89557-0001 | 2007-01-31 |
| 1124188214 | Judy F Hilbish | Family Medicine | 1155 W 4th St Ste 107, Reno, NV 89503-5146 | 2006-12-11 |
| 1235242470 | Mohsen Tamasaby | Family Medicine | 1699 S Virginia St Ste 100, Reno, NV 89502 | 2006-08-15 |
| 1891774568 | Ram K Singh | Family Medicine | 4432 S Eastern Ave, Las Vegas, NV 89119 | 2006-01-11 |
| 1841810686 | Pain Management Depot Inc | Family Medicine | 2465 Reynolds Ave Ste 301, N Las Vegas, NV 89030-7296 | 2020-04-22 |
| 1083247613 | Kayla Mcmillen | Family Medicine | 3041 E Flamingo Rd Ste A, Las Vegas, NV 89121-7447 | 2020-02-21 |
| 1457826828 | Madeleine Christine Anstett | Family Medicine | 1397 S Loop Rd, Pahrump, NV 89048-4729 | 2018-10-11 |
| 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 HEALTH CARE CENTER OF SOUTHERN NEVADA.
| 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.