DOCTORS CENTER AT REDROCK (NPI# 1942688932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942688932 |
| Entity Type | Organization |
| Organization Name | DOCTORS CENTER AT REDROCK |
| Practice Address |
8413 W Lake Mead Blvd Las Vegas NV 89128-7638 |
| Practice Telephone | 7022331715 |
| Practice Fax Number | 7026847878 |
| Mailing Telephone | 7022331715 |
| Mailing Fax Number | 7026847878 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |
| Authorized Official Name | DR. LEO J CAPOBIANCO (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 7022331715 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
958 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
8413 W LAKE MEAD BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-7638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619292224 | Howard M Hack Md-nevada PC | Specialist | 8413 W Lake Mead Blvd, Las Vegas, NV 89128-7638 | 2010-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942376207 | Michael Shawn Levy | Family Medicine | 6000 W Rochelle Ave Ste 800, Las Vegas, NV 89103-3300 | 2006-11-28 |
| 1477660603 | Melvin Irwin Pohl | Family Medicine | 3321 N Buffalo Drive, Suite 125, Las Vegas, NV 89129 | 2006-08-24 |
| 1538707039 | New Mind Primary Care Clinic | Family Medicine | 320 N Nellis Blvd Ste 6, Las Vegas, NV 89110-5390 | 2019-12-15 |
| 1346785151 | Michael S Levy Do Professional Corporation | Family Medicine | 4445 S Jones Blvd Ste 3, Las Vegas, NV 89103-3371 | 2017-01-03 |
| 1548278617 | Maurice Dubois Gregory Jr. | Family Medicine | 2020 Goldring Ave, Suite 503, Las Vegas, NV 89106-4000 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215575717 | C & C Health Care Services LLC | Family Medicine | 1465 Terminal Way Ste 5, Reno, NV 89502-3200 | 2019-12-15 |
Please comment or provide details below to improve the information on DOCTORS CENTER AT REDROCK.
| 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.