| Celestial Health Solutions | |
|
222 S Rainbow Blvd Ste 206 Las Vegas NV 89145-5356 | |
| (702) 500-1728 | |
| (702) 707-8921 |
| Full Name | Celestial Health Solutions |
|---|---|
| Speciality | Clinic/Center |
| Location | 222 S Rainbow Blvd Ste 206, Las Vegas, Nevada |
| Authorized Official Name and Position | Mary Carillo (BILLER) |
| Authorized Official Contact | 7025697244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Celestial Health Solutions 222 S Rainbow Blvd Ste 206 Las Vegas NV 89145-5356 Ph: (702) 500-1728 | Celestial Health Solutions 222 S Rainbow Blvd Ste 206 Las Vegas NV 89145-5356 Ph: (702) 500-1728 |
| NPI Number | 1124731401 |
|---|---|
| Provider Enumeration Date | 01/02/2023 |
| Last Update Date | 01/02/2023 |
| Medicare PECOS PAC ID | 8527439603 |
|---|---|
| Medicare Enrollment ID | O20230127002203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124731401 | NPI | - | NPPES |
| Provider Name | John P Valles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972545994 PECOS PAC ID: 8820060163 Enrollment ID: I20040809000354 |
| Provider Name | Roy Marie A Margallo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538314950 PECOS PAC ID: 7416129739 Enrollment ID: I20111011000181 |
| Provider Name | Shirley Bigcas Moorjani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952844664 PECOS PAC ID: 2365726239 Enrollment ID: I20170222000438 |
| Provider Name | Brian Keith Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487114583 PECOS PAC ID: 7810221090 Enrollment ID: I20190621000022 |
| Provider Name | Janice M Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063034049 PECOS PAC ID: 2769895291 Enrollment ID: I20201230001215 |
| Provider Name | Kurt Ricardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336719764 PECOS PAC ID: 6608267307 Enrollment ID: I20220106000188 |
| Provider Name | Grace Marie Samson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811650849 PECOS PAC ID: 5597130195 Enrollment ID: I20230413000746 |
| Provider Name | Maria Mondonedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356052765 PECOS PAC ID: 8628423738 Enrollment ID: I20231010001937 |
| Provider Name | Mark Z Quim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780456350 PECOS PAC ID: 2860844461 Enrollment ID: I20240119000170 |
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