LIVING LIFE MEDICAL CENTER LLC (NPI# 1942657473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942657473 |
| Entity Type | Organization |
| Organization Name | LIVING LIFE MEDICAL CENTER LLC |
| Practice Address |
7720 W Sahara Ave Ste 111 Las Vegas NV 89117-2799 |
| Practice Telephone | 7022549014 |
| Practice Fax Number | 7022549016 |
| Mailing Telephone | 7022549014 |
| Mailing Fax Number | 7022549016 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |
| Authorized Official Name | LESLIE DAWN ROWENS (OWNER) |
| Authorized Official Telephone | 7024494889 |
| Authorized Official Credential | P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
NV | Allopathic & Osteopathic Physicians | |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
NV | Ambulatory Health Care Facilities | |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7720 W SAHARA AVE STE 111 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89117-2799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063427789 | Salvatore Joseph Licata Jr. | Dentist | 7720 W Sahara Ave, Suite 110, Las Vegas, NV 89117 | 2006-07-30 |
| 1619391331 | Ray of Sunshine Adult Day Care | Clinic/Center | 7720 W Sahara Ave, Suite 104, Las Vegas, NV 89117-2799 | 2014-02-17 |
| 1093139032 | Carole Frye | Adult Companion | 7720 W Sahara Ave, Suite 104, Las Vegas, NV 89117-2799 | 2014-02-11 |
| 1093149130 | Ray of Sunshine Adult Day Care LLC | Clinic/Center | 7720 W Sahara Ave, Suite 104, Las Vegas, NV 89117-2799 | 2013-08-26 |
| 1801114236 | Dulce S Kabatay | Nurse Practitioner | 7720 W Sahara Ave, Suite 103, Las Vegas, NV 89117-2799 | 2010-05-10 |
| 1750606703 | Kec Chang Medical Associates, PC | Family Medicine | 7720 W Sahara Ave, Suite 103, Las Vegas, NV 89117-2799 | 2010-04-01 |
| 1881918043 | Prime Choice Home Health, LLC | Home Health | 7720 W Sahara Ave, Suite 106, Las Vegas, NV 89117-2799 | 2010-03-17 |
| 1699959361 | Sufia Palluck | Dentist | 7720 W Sahara Ave, Suite 107, Las Vegas, NV 89117-2799 | 2007-12-18 |
| 1346391182 | Joyce Po Chang | Family Medicine | 7720 W Sahara Ave, Suite 103, Las Vegas, NV 89117 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016923 | Nick Marte | Massage Therapist | 8321 W Sahara Ave 2057, Las Vegas, NV 89117 | 2020-09-06 |
| 1831709740 | Marizel Yukee | Nurse Practitioner | 3086 Lapis Beach Dr, Las Vegas, NV 89117 | 2020-08-05 |
| 1336762525 | Mashiko Jenny Tavares | Sleep Specialist, PhD | 1711 Songlight Court, Las Vegas, NV 89117 | 2020-05-21 |
| 1235772849 | Cornelia Darlau | Counselor | 2753 Lodestone Drive, Las Vegas, NV 89117 | 2019-10-26 |
| 1861034837 | Luz Aguirre | Technician | 9105 Quiet Cove Way, Las Vegas, NV 89117 | 2019-10-11 |
| 1043778566 | Maggie Lynn Steel | Occupational Therapist | 7621 W Charleston Blvd, Unit 101, Las Vegas, NV 89117 | 2019-03-04 |
| 1154805356 | Joyce Ingram | Counselor | 8600 Starboard Dr Apt 2100, Las Vegas, NV 89117 | 2018-09-24 |
| 1356823421 | Pari Garza | Chore Provider | 9825 Paseo Cresta Ave., Las Vegas, NV 89117 | 2018-09-05 |
| 1235624297 | Creative Family Health & Wellness Center | Case Management | 6849 W Charleston Blvd Ste B, Las Vegas, NV 89117 | 2018-06-22 |
| 1790272524 | Las Vegas Sleep Center ( Shamiya) Pllc | Clinic/Center | 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 | 2018-04-17 |
| Find all providers in zip 89117 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821554106 | Amy Hamilton | Physician Assistant | 5785 Centennial Center Blvd Ste 190, Las Vegas, NV 89149-7110 | 2019-02-12 |
| 1386145159 | Kevin Refahiyat | Physician Assistant | 7150 S Durango Dr Ste 105, Las Vegas, NV 89113-2242 | 2018-02-26 |
| 1316487325 | Nadiya-larissa Bateman | Physician Assistant | 2809 W Charleston Blvd # 150, Las Vegas, NV 89102-1998 | 2017-02-24 |
| 1760840797 | Ying Quan | Physician Assistant | 2995 S Jones Blvd Ste A, Las Vegas, NV 89146-5612 | 2016-02-04 |
| 1396121646 | Lucas Michal Anderson | Physician Assistant | 9050 W Tropicana Ave, 1159, Las Vegas, NV 89147-8186 | 2015-08-09 |
| 1851631378 | Matthew Sanders | Physician Assistant | 6870 S. Rainbow Blvd, Suite 106, Las Vegas, NV 89118 | 2013-02-20 |
| 1285973289 | Jesus Angel Corn Sotelo | Physician Assistant | 4225 S Eastern Ave Ste 8, Las Vegas, NV 89119-5485 | 2013-02-11 |
| 1952675993 | Donald Patrick Mcgrorey Md Pllc | Physician Assistant | 6440 N Durango Dr Bldg A, Las Vegas, NV 89149-8513 | 2012-03-07 |
| 1508136375 | Leigh Richards Boeckle | Physician Assistant | 9033 W Sahara Ave, Las Vegas, NV 89117 | 2012-01-10 |
| 1225315229 | Samantha J Van Ginneken | Physician Assistant | 8020 S Rainbow Blvd Ste 100, Box #536, Las Vegas, NV 89139-6494 | 2011-11-04 |
| 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.