CLINICA SANTA MARIA LLC (NPI# 1972697712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972697712 |
| Entity Type | Organization |
| Organization Name | CLINICA SANTA MARIA LLC |
| Practice Address |
2354 E Bonanza Rd Las Vegas NV 89101-3451 |
| Mailing Address |
Po Box 36340 Las Vegas NV 89133-6340 |
| Practice Telephone | 7023999161 |
| Mailing Telephone | 7027351960 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-07-06 |
| Authorized Official Name | ROBERT JOSEPH WEBB (MANAGING PARTNER) |
| Authorized Official Telephone | 7023999161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 14003243100349 | NV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255600565 | Clinica Santa Maria LLC | Clinic/Center | 6158 Highway 92 Ste 101, Acworth, GA 30102-2332 | 2011-12-16 |
| Street Address |
2354 E BONANZA RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89101-3451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043241078 | Virgilio Siu | Physician Assistant | 2354 E Bonanza Rd, Las Vegas, NV 89101-3451 | 2006-07-06 |
| 1508068354 | Tri Truong, Md | Family Medicine | 2354 E Bonanza Rd, Las Vegas, NV 89101-3451 | 2007-06-04 |
| 1154412385 | Robert Joseph Webb | Physician Assistant | 2354 E Bonanza Rd, Las Vegas, NV 89101-3451 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671290 | Nadhc At The Acsc, Inc. | Respite Care | 330 N. 13th Street, Las Vegas, NV 89101 | 2019-10-23 |
| 1861033730 | Militza Mares Mikovich | Case Manager/Care Coordinator | 820 S 7th Street Ste A, Las Vegas, NV 89101 | 2019-10-02 |
| 1598311862 | Catalina Ruiz-perez | Technician | 1420 James St., L, Las Vegas, NV 89101 | 2019-08-13 |
| 1053880831 | Samantha Okumura | Specialist/Technologist | 701 E Bridger Ave Ste 150, Las Vegas, NV 89101 | 2018-11-21 |
| 1447752860 | Ratref T Havlin | Technician | 1820 East Bonanza Apt 1, Las Veges, NV 89101 | 2018-03-01 |
| 1396255808 | David Markus Stevens | Technician/Technologist | 930 N. 4th Street, Las Vegas, NV 89101 | 2017-10-10 |
| 1447789888 | Dustin Douglas | Driver | 50 N 21 St #139, Las Vegas, NV 89101 | 2017-06-08 |
| 1013389535 | Direct Scripts Mail, LLC | Pharmacy | 71 N Pecos Road, Suite 104, Las Vegas, NV 89101 | 2015-10-23 |
| 1699169920 | Westcare Nevada Inc | Community/Behavioral Health | 323 N Maryland Parkway, Las Vegas, NV 89101 | 2015-03-25 |
| 1639574262 | Misty Davis | Registered Nurse | 930 N. 4th St., Las Vegas, NV 89101 | 2014-10-24 |
| Find all providers in zip 89101 | ||||
| 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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| 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.