DR. VICTOR ATIENZA DE LEON (NPI# 1861564783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861564783 |
Entity Type | Individual |
Full Name | DR. VICTOR ATIENZA DE LEON |
Credential | M.D. |
Practice Address |
3009 W Charleston Blvd Las Vegas NV 89102-1943 |
Mailing Address |
3131 W Charleston Blvd Ste. 150 Las Vegas NV 89102-1979 |
Practice Telephone | 7028782801 |
Practice Fax Number | 7028776711 |
Mailing Telephone | 7028782801 |
Mailing Fax Number | 7028783050 |
Enumeration Date | 2006-11-15 |
Last Update Date | 2013-08-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 9215 | NV | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 002018374 | 05 | |
NV | TAX IDENTIFICATION NUMBER | 710984126 | 01 |
NV | STATE | NV9215 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306327473 | Victor Amaury De Leon | Student in an Organized Health Care Education/Training Program | Bc19 Rio Amazonas St, Valle Verde 2, Bayamon, PR 00961 | 2018-08-27 |
1669982815 | Victor Marcus De Leon | Behavioral Analyst | 8350 Archibald Ave Ste 125, Rancho Cucamonga, CA 91730-7701 | 2017-10-02 |
1043562788 | Victor Octavio De Leon | Behavioral Analyst | 326 E Foothill Blvd, Azusa, CA 91702-2515 | 2012-10-04 |
1033352117 | Victor De Leon | Military Health Care Provider | 45 Pine St, Langley Afb, VA 23665-2025 | 2009-04-20 |
Street Address |
3009 W CHARLESTON BLVD |
City | LAS VEGAS |
State | NV |
Zip Code | 89102-1943 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659348860 | Thang-tom Thien Tran | Internal Medicine | 3009 W Charleston Blvd, Suite 110, Las Vegas, NV 89102-1943 | 2006-03-07 |
1942863881 | Naomi Rhodes | Speech-Language Pathologist | 3009 W Charleston Blvd, Las Vegas, NV 89102-1943 | 2019-04-16 |
1255872826 | Lauren Crutcher | Physical Therapist | 3009 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-1943 | 2017-03-16 |
1275070575 | Erin Madden | Physical Therapist | 3009 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-1943 | 2017-01-24 |
1720525371 | Alliance Therapies, Pllc | Clinic/Center | 3009 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-1943 | 2017-01-20 |
1598201063 | Alliance Therapies, Pllc | Clinic/Center | 3009 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-1943 | 2017-01-09 |
1346329851 | Francis Escolin Jimenez | Family Medicine | 3009 W Charleston Blvd, Las Vegas, NV 89102-1943 | 2006-11-03 |
1386678555 | Emilio Francisco A Berberabe Jr | Internal Medicine | 3009 W Charleston Blvd, Las Vegas, NV 89102-1943 | 2006-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
Find all providers in zip 89102 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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1639788599 | Telelab | Family Medicine | 7881 W Charleston Blvd Ste 230, Las Vegas, NV 89117-8327 | 2020-07-27 |
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1659995090 | Universal Medical Alliance Inc. | Family Medicine | 6268 Spring Mountain Rd Ste 115b, Las Vegas, NV 89146-8873 | 2020-06-02 |
1255954640 | Partners In Primary Care Nv PC | Family Medicine | 4919 W Craig Rd, Las Vegas, NV 89130-2730 | 2020-05-20 |
1669095048 | Partners In Primary Care Nv PC | Family Medicine | 4813 S Eastern Ave, Las Vegas, NV 89119-6188 | 2020-05-20 |
1184247579 | Partners In Primary Care Nv PC | Family Medicine | 3129 N Rainbow Blvd, Las Vegas, NV 89108-4578 | 2020-05-20 |
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.