LEO J. CAPOBIANCO, D.O., LTD. (NPI# 1891163770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891163770 |
| Entity Type | Organization |
| Organization Name | LEO J. CAPOBIANCO, D.O., LTD. |
| Other Organization Name | DOCTORS CENTER AT RED ROCK |
| Practice Address |
1371 W Warm Springs Rd Ste 120 Henderson NV 89014-8068 |
| Mailing Address |
2980 N Beverly Glen Cir Ste 301 Los Angeles CA 90077-1735 |
| Practice Telephone | 7029985549 |
| Mailing Telephone | 3109434180 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | DR. LEO CAPOBIANCO (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7026847800 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | LEO J. CAPOBIANCO, D.O. LTD. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | NV958 | NV | Suppliers |
| Other Name | Type Code |
|---|---|
| Doctors Center at Red Rock | Doing Business As Name - Organization |
| Street Address |
1371 W WARM SPRINGS RD STE 120 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89014-8068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| 1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
| 1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in zip 89014 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639507494 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 903 S Beckford Dr, Henderson, NC 27536-5908 | 2013-10-14 |
| 1700049418 | Beckford Avenue Medical Center Pa | Non-Pharmacy Dispensing Site | 176 S Beckford Dr, Henderson, NC 27536-2584 | 2008-07-03 |
| 1891328217 | Harold Zilberman Md Chartered | Non-Pharmacy Dispensing Site | 880 Seven Hills Dr Ste 100, Henderson, NV 89052-4372 | 2020-02-13 |
| 1922407477 | Vance Family Medcine Pa | Non-Pharmacy Dispensing Site | 381 Ruin Creek Rd, Henderson, NC 27536-2932 | 2014-08-21 |
| 1881953339 | Optimal Health Primary Care Brown PC | Non-Pharmacy Dispensing Site | 10120 S Eastern Ave, Suite 100, Henderson, NV 89052-3951 | 2012-05-03 |
| 1104190370 | Glimpse of Vegas Inc. | Non-Pharmacy Dispensing Site | 10170 S Eastern Ave, Suite 100, Henderson, NV 89052-3968 | 2012-03-05 |
| 1902174741 | Mavis N Matsumoto, Md, LLC | Non-Pharmacy Dispensing Site | 2780 W Horizon Ridge Pkwy, Suite 30, Henderson, NV 89052-3995 | 2011-12-08 |
| 1649316258 | Star Med Consulting LLC | Non-Pharmacy Dispensing Site | 2645 W Horizon Ridge Pkwy, Ste 120, Henderson, NV 89052-2898 | 2007-01-30 |
| 1891748471 | Foot & Ankle Surgical Group, LLP | Non-Pharmacy Dispensing Site | 10561 Jeffreys St, #110, Henderson, NV 89052-4266 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364920 | Vaccine Hippo, Inc. | Non-Pharmacy Dispensing Site | 10040 W Cheyenne Ave Ste 170-146, Las Vegas, NV 89129-7719 | 2019-03-08 |
| 1952829673 | Jonathan R. Sorelle, Md., Pllc | Non-Pharmacy Dispensing Site | 9080 W Post Rd # 200, Las Vegas, NV 89148-2419 | 2017-09-01 |
| 1437670122 | Harold Zilberman Md Chartered | Non-Pharmacy Dispensing Site | 3201 S Maryland Pkwy Ste 608, Las Vegas, NV 89109-2428 | 2017-07-03 |
| 1710429634 | Robert G. Berry Ltd - Ortho Rehab Specialists of Nevada | Non-Pharmacy Dispensing Site | 6630a S Mccarran Blvd # 4, Reno, NV 89509-6135 | 2016-11-09 |
| 1447701321 | Community Health Alliance | Non-Pharmacy Dispensing Site | 335 Record St Ste 254, Reno, NV 89512-3327 | 2016-10-17 |
| 1558762120 | Wealthwise Inc | Non-Pharmacy Dispensing Site | 8493 Indigo Harbor Ave, Las Vegas, NV 89117-9166 | 2014-09-14 |
| 1275957136 | Pac Lp | Non-Pharmacy Dispensing Site | 9465 W Post Road, Suite 1068, Las Vegas, NV 89148-5786 | 2014-02-13 |
| 1013355072 | Kirkman Group, Inc. | Non-Pharmacy Dispensing Site | 10639 Professional Cir, Reno, NV 89521-5850 | 2013-06-11 |
| 1518224971 | Doctor Dispense, LLC | Non-Pharmacy Dispensing Site | 5910 Alpha Ave, Suite A, Reno, NV 89506-1296 | 2012-04-23 |
| 1831463041 | Glimpse of Vegas Inc. | Non-Pharmacy Dispensing Site | 5990 S Rainbow Blvd, Las Vegas, NV 89118-4205 | 2012-03-06 |
| Find all providers with the same taxonomy | ||||
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| 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.