CLARK COUNTY MEDICAL GROUP LLC (NPI# 1871094862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871094862 |
| Entity Type | Organization |
| Organization Name | CLARK COUNTY MEDICAL GROUP LLC |
| Practice Address |
5693 S Jones Blvd Ste 102 Las Vegas NV 89118 |
| Mailing Address |
3650 S Eastern Ave Ste 330 Las Vegas NV 89169-3345 |
| Practice Telephone | 7028318993 |
| Practice Fax Number | 7029220404 |
| Mailing Telephone | 7025249599 |
| Enumeration Date | 2018-02-24 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | FERDINAND DALOPE (CEO) |
| Authorized Official Telephone | 7025249599 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | NV | Behavioral Health & Social Service Providers | |
| N | 363L00000X | Nurse Practitioner | NV | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 208D00000X | General Practice | NV | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3650 S Eastern Ave Ste 330, Las Vegas, NV 891693345 | 7025249599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023508843 | Clark County Medical Group LLC | Clinical Nurse Specialist | 2225 E Flamingo Rd Ste 100, Las Vegas, NV 89119-5126 | 2018-05-17 |
| Street Address |
5693 S JONES BLVD STE 102 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659892123 | Nurse Practitioners Staffing Corp LLC | Nurse Practitioner | 5693 S Jones Blvd Ste 102, Las Vegas, NV 89118-1969 | 2017-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720568520 | Kurt Yaross | Behavioral Analyst | 7138 W Post Rd, #208, Las Vegas, NV 89118 | 2018-08-21 |
| 1619457108 | Michelle Herzberg | Behavioral Analyst | 7318 W Post Rd #280, Las Vegas, NV 89118 | 2018-08-15 |
| 1548749385 | Keisha Bere-ruiz | Behavioral Analyst | 7318 W Post Rd #208, Las Vegas, NV 89118 | 2018-08-13 |
| 1295222081 | Aliantcare | Radiologic Technologist | 5490 S Rainbow Blvd, Suite 400 N34835, Las Vegas, NV 89118 | 2018-04-17 |
| 1710406467 | Anoush H. Tacvorian Do LLC | Clinic/Center | 6525 W. Warm Springs Rd, Suite 100, Las Vegas, NV 89118 | 2017-09-13 |
| 1962920470 | Harvard Medtech, LLC | Durable Medical Equipment & Medical Supplies | 6280 S. Valley View Blvd, Suite 412, Las Vegas, NV 89118 | 2017-09-05 |
| 1750827903 | Kerry Cutler | Nurse Practitioner | 6020 South Rainbow Blvd, Suite C, Las Vegas, NV 89118 | 2017-01-12 |
| 1184173015 | Girisgen & Kopolow Od PC | Optometrist | 7090 S Rainbow Blvd, Ste 100, Las Veegas, NV 89118 | 2016-10-04 |
| 1396117859 | Foundation for Positively Kids | Clinic/Center | 3555 E Reno, Ste F, Las Vegas, NV 89118 | 2015-10-23 |
| 1720492663 | Kiet Michael Lam | Chiropractor | 5693 S. Jones Bvld, Ste 116, Las Vegas, NV 89118 | 2014-06-18 |
| Find all providers in zip 89118 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281451 | Korn Health Solutions, Pllc | General Practice | 8530 W Sunset Rd Ste 305, Las Vegas, NV 89113-2215 | 2020-10-06 |
| 1740898253 | Cano Health Nevada Pllc | General Practice | 3265 E Tropicana Ave, Las Vegas, NV 89121-7386 | 2020-07-21 |
| 1225530553 | Real Time Physicians, LLC | General Practice | 3855 W Diablo Dr Ste 2, Las Vegas, NV 89118-2343 | 2018-03-02 |
| 1063847317 | Mh Health Care Services, PC | General Practice | 7135 W Sahara Ave Ste 100, C/o Laborers Health Center, Las Vegas, NV 89117-2828 | 2013-09-05 |
| 1386078582 | Richard F Russell | General Practice | 2221 S Tioga Way, Las Vegas, NV 89117-2735 | 2013-08-25 |
| 1790125862 | Ihawa | General Practice | 1504 Couples St, Las Vegas, NV 89128-2155 | 2013-07-03 |
| 1154768620 | Francisco Martinez Villanueva | General Practice | 8652 Grandbank Dr, Las Vegas, NV 89145-4813 | 2013-05-23 |
| 1588900716 | Dean Grant Peterson | General Practice | 3021 Waterside Cir, Las Vegas, NV 89117-2277 | 2012-12-15 |
| 1205182292 | Integrated Medical Group Inc | General Practice | 3230 S Buffalo Dr Ste 105, Las Vegas, NV 89117-2506 | 2012-07-27 |
| 1083970248 | Sebastian Balle | General Practice | 6670 Palmyra Ave, Las Vegas, NV 89146-6539 | 2012-04-02 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on CLARK COUNTY MEDICAL GROUP LLC.
| 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.