ACT MEDICAL GROUP-LAS VEGAS INC (NPI# 1124684030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124684030 |
| Entity Type | Organization |
| Organization Name | ACT MEDICAL GROUP-LAS VEGAS INC |
| Practice Address |
500 N Rainbow Blvd Ste 300 Las Vegas NV 89107-1061 |
| Mailing Address |
11245 Delano St North Hollywood CA 91606 |
| Practice Telephone | 2134769619 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | MRS. MARIA V MACAHIA (SECRETARY) |
| Authorized Official Telephone | 2134769619 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 N RAINBOW BLVD STE 300 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89107-1061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639116841 | Sharon Ann Colica | Podiatrist | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2006-05-31 |
| 1801497920 | Nostaligelia Minkalah Von Goszknovffczevich Heidler | Technician | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-11-04 |
| 1952900169 | John P Kelly | Technician | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-10-19 |
| 1366041576 | Rachel Bravo | Technician | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-10-19 |
| 1588263891 | Sarah V Garza | Technician | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-10-19 |
| 1871100776 | Joe T Culver | Counselor | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-09-25 |
| 1710593223 | Changing Lives LLC | Prevention Professional | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-09-20 |
| 1700490497 | Beverly Ann Woods | Technician | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-09-01 |
| 1912510736 | Blenda Rios | Technician | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-08-31 |
| 1750993671 | National Youth Advocate Program, Inc | Community/Behavioral Health | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837620 | Dominica Marie Lemay | Technician | Ideal Staffing Inc 500 N Rainbow Blvd Ste 300 Las Vegas, Las Vegas, NV 89107 | 2020-03-24 |
| 1417589854 | Ciro Zuniga | Technician | 5020 Alta Dr Suit-b, Las Vegas, NV 89107 | 2020-02-04 |
| 1730729252 | Natalie Rochelle Ross | Technician | Ideal Staffing Inc N Rainbow Blvd Ste 300 Las Vegas, Nv, Las Vegas, NV 89107 | 2020-01-13 |
| 1679112148 | Cynthia Mayen | Technician | 2050 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2020-01-02 |
| 1427695543 | Aaa Physical Therapy LLC | Clinic/Center | 633 N. Decatur Blvd., Suite E, Las Vegas, NV 89107 | 2019-12-09 |
| 1063061018 | Guaoalupe Pena | Technician | 5020 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2019-09-11 |
| 1275180234 | Roman Bautista Ortiz | Technician | 5020 Alta Dr. Suit-b, Las Vegas, NV 89107 | 2019-08-23 |
| 1518513357 | Michele Renee Black | Chore Provider | 500 North Rainbow Boulevard, Suite 300, Las Vegas, NV 89107 | 2019-08-16 |
| 1124674312 | Helena Alma Ferron-zepeda | Technician | 5020 Alta Dr., Suite-b, Las Vegas, NV 89107 | 2019-08-13 |
| 1386299246 | Felecia Ann Goodwin | Technician | 500 N Rainbow Blvd Ste 300, Ideal Staffing Inc, Las Vegas, NV 89107 | 2019-08-07 |
| Find all providers in zip 89107 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451471 | Jhouleen Angelika Tam Tiamzon | Nurse Practitioner | 3510 E Tropicana Ave Ste K, Las Vegas, NV 89121-7341 | 2020-09-15 |
| 1649783754 | Maxine Millicent Webster | Nurse Practitioner | 2851 N Tenaya Way Ste 101, Las Vegas, NV 89128-0453 | 2017-11-10 |
| 1700302791 | Marissa Schanbacher Adolfo | Nurse Practitioner | 848 Paseo Cerro Pl, Las Vegas, NV 89138-6096 | 2017-08-21 |
| 1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1366852352 | Thomas Arpad Sharon | Nurse Practitioner | 922 West Owens Avenue, Las Vegas, NV 89106 | 2014-04-30 |
| 1285600502 | Tia B Hudon | Nurse Practitioner | 2225 E Flamingo Rd Ste 105, Las Vegas, NV 89119-5126 | 2006-02-27 |
| 1568469773 | Aloycha Li De La Roche | Nurse Practitioner | 6100 Iron Kettle St, Las Vegas, NV 89130-1065 | 2005-07-01 |
| 1588263248 | Makon Amazing Gifted Hands Pllc | Nurse Practitioner | 8275 S Eastern Ave, Suite 200, Las Vegas, NV 89123-2545 | 2020-10-22 |
| 1578171864 | Iliana Britt | Nurse Practitioner | 2968 E Russell Rd, Las Vegas, NV 89120-2453 | 2020-07-22 |
| 1689216434 | Luis Rodriguez | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2019-10-14 |
| Find all providers in LAS VEGAS | ||||
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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.