ROGELIO MACHUCA MD FAMILY MEDICINE (NPI# 1023551355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023551355 |
| Entity Type | Organization |
| Organization Name | ROGELIO MACHUCA MD FAMILY MEDICINE |
| Other Organization Name | MACHUCA BEHAVIORAL HEALTH |
| Practice Address |
1513 S Eastern Ave Las Vegas NV 89104-3916 |
| Practice Telephone | 7027787614 |
| Practice Fax Number | 7027787615 |
| Mailing Telephone | 7027787614 |
| Mailing Fax Number | 7027787615 |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2017-03-30 |
| Authorized Official Name | ROGELIO MACHUCA (OWNER) |
| Authorized Official Telephone | 7027787614 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
G64-07911 | NV | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Machuca Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235412073 | Rogelio Machuca Md Family Medicine | Family Medicine | 1501 S Eastern Ave, Las Vegas, NV 89104-3916 | 2011-09-27 |
| Street Address |
1513 S EASTERN AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89104-3916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922242676 | Francisco Guadalupe Machuca | Family Medicine | 1513 S Eastern Ave, Las Vegas, NV 89104-3916 | 2009-04-25 |
| 1427667898 | Amanda Jeanne Rush | Social Worker | 1513 S Eastern Ave, Las Vegas, NV 89104-3916 | 2020-07-30 |
| 1023648813 | Daisy Arias | Rehabilitation Practitioner | 1513 S Eastern Ave, Las Vegas, NV 89104-3916 | 2020-01-21 |
| 1710527494 | Liliana Acero | Rehabilitation Practitioner | 1513 S Eastern Ave, Las Vegas, NV 89104-3916 | 2020-01-10 |
| 1700342565 | Ellen M Ortiz | Marriage & Family Therapist | 1513 S Eastern Ave, Las Vegas, NV 89104-3916 | 2019-02-18 |
| 1346722931 | Arleth Naomy Estrada | Rehabilitation Counselor | 1513 S Eastern Ave, Las Vegas, NV 89104-3916 | 2018-08-30 |
| 1184144578 | Chynna Marie Aquino Oasay | Rehabilitation Counselor | 1513 S Eastern Ave, Las Vegas, NV 89104-3916 | 2017-06-27 |
| 1912442518 | Michele Murray-kuiava | Behavior Technician | 1513 S Eastern Ave, Las Vegas, NV 89104-3916 | 2017-01-05 |
| 1780955625 | Chris Cathey | Marriage & Family Therapist | 1513 S Eastern Ave, Las Vegas, NV 89104-3916 | 2012-01-24 |
| 1386942647 | Hillary Mirabal | Counselor | 1513 S Eastern Ave, Las Vegas, NV 89104-3916 | 2011-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550635 | Comfort Care Senior Services LLC | In Home Supportive Care | 1601 S Sandhill Rd, 62, Las Vegas, NV 89104 | 2020-08-26 |
| 1508484734 | Accessible Space Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1405 South Mojave Rd, Las Vegas, NV 89104 | 2020-07-14 |
| 1003448333 | Shirley Lauren Valenzona-gianan | Pharmacist | Smith's Pharmacy #318, 4965 East Sahara Avenue, Las Vegas, NV 89104 | 2020-02-05 |
| 1427602713 | Alma Lucia Lozano-vargas | Chore Provider | 1785 E. Sahara Ave. Suite 485, Las Vegas, NV 89104 | 2019-07-25 |
| 1396398947 | Martinez Antuan Coates | Psychologist | 1755 Palm St Bld T Apt147, Las Vegas, NV 89104 | 2019-07-23 |
| 1982171518 | Ian Sande | Occupational Therapist | 1500 West Warm Springs Rd, Las Vegas, NV 89104 | 2018-11-01 |
| 1215436563 | A Better Life In Home Care, LLC | Technician | 1810 East Sahara Avenue, Suite 216, Las Vegas, NV 89104 | 2018-02-01 |
| 1891202016 | Nevada Helping Hands LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1810 E Sahara Ave Ste 143, Las Vegas, NV 89104 | 2018-01-09 |
| 1760901581 | Fannie Bell | Counselor | 1800 E. Sahara Suite 104, Las Vegas, NV 89104 | 2017-09-13 |
| 1386162147 | Jaclyn Mustachio | Social Worker | 1860 E Sahara Ave, Las Vegas, NV 89104 | 2017-08-31 |
| Find all providers in zip 89104 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
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|---|---|---|---|---|
| 1659971414 | Oluwakemi Temitayo Obajuwonlo | Counselor | 4442 Avery Park Ave, Las Vegas, NV 89110-5488 | 2020-10-29 |
| 1275132862 | Keep Safe Wellcare Center, LLC | Counselor | 1912 Goodwill St, Apt D, Las Vegas, NV 89106-1232 | 2020-10-23 |
| 1568060796 | Rolly Taguinod Quilang | Counselor | 5346 Tipper Ave, Las Vegas, NV 89122-6966 | 2020-10-09 |
| 1255948519 | Jaafah Rashad Coppedge | Counselor | 4400 S Jones Blvd Unit 1028, Las Vegas, NV 89103-3337 | 2020-09-30 |
| 1457968570 | Deborah Ilakay Walker | Counselor | 764 E Twain Ave Apt 5b, Las Vegas, NV 89169-4125 | 2020-09-24 |
| 1912513359 | Parisa Karen Kabiri | Counselor | 6767 W Tropicana Ave #100, Las Vegas, NV 89103-8910 | 2020-09-21 |
| 1861007932 | Camry A Howard | Counselor | 3200 Arville St Apt 146, Las Vegas, NV 89102-7648 | 2020-09-14 |
| 1992319099 | Kayli Wrenn | Counselor | 7788 Peaceful Trellis Dr, Las Vegas, NV 89179-2031 | 2020-09-04 |
| 1932712809 | Williams Consultation | Counselor | 3811 W Charleston Blvd Ste 106, Las Vegas, NV 89102-1846 | 2020-08-28 |
| 1386255321 | Evolve and Heal Wellness Center | Counselor | 1024 W Owens Ave Ste 113, Las Vegas, NV 89106-2520 | 2020-08-13 |
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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.