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4357 Corporate Center Dr Suite 450 North Las Vegas NV 89030-7546 | |
| (702) 644-4673 | |
| (702) 902-5443 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 4357 Corporate Center Dr, North Las Vegas, Nevada |
| Authorized Official Name and Position | Steve Flores (CEO) |
| Authorized Official Contact | 7026444673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
4040 N Martin L King Blvd Ste A North Las Vegas NV 89032-3205 Ph: (702) 644-4673 | 4357 Corporate Center Dr Suite 450 North Las Vegas NV 89030-7546 Ph: (702) 644-4673 |
| NPI Number | 1184038176 |
|---|---|
| Provider Enumeration Date | 06/17/2014 |
| Last Update Date | 05/12/2023 |
| Medicare PECOS PAC ID | 8628297645 |
|---|---|
| Medicare Enrollment ID | O20140923002419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184038176 | NPI | - | NPPES |
| 100537710 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 15015 (Nevada) | Primary |
| Provider Name | Susan Galvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972569333 PECOS PAC ID: 4688764723 Enrollment ID: I20121227000352 |
| Provider Name | Ozioma Nwosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457726135 PECOS PAC ID: 0446529275 Enrollment ID: I20170710002239 |
| Provider Name | Guillermina Arambula |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851678098 PECOS PAC ID: 5799049342 Enrollment ID: I20180507000895 |
| Provider Name | Darlene E Francisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134692429 PECOS PAC ID: 7911248620 Enrollment ID: I20190406000052 |
| Provider Name | Myles Adamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962807677 PECOS PAC ID: 7214360643 Enrollment ID: I20191125003185 |
| Provider Name | Jocelyn Nato Ligayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609410166 PECOS PAC ID: 3072948199 Enrollment ID: I20200120000863 |
| Provider Name | Eileen Narcelles Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609411164 PECOS PAC ID: 6204258585 Enrollment ID: I20200615000388 |
| Provider Name | Kathy L Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538755194 PECOS PAC ID: 1456764026 Enrollment ID: I20201229001765 |
| Provider Name | Anilyn Bonina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417538273 PECOS PAC ID: 7113329780 Enrollment ID: I20210706002438 |
| Provider Name | Flor Elena Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144823311 PECOS PAC ID: 0547665879 Enrollment ID: I20210824002564 |
| Provider Name | Manuel Fernando Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497259196 PECOS PAC ID: 1355733973 Enrollment ID: I20220111002244 |
| Provider Name | Nicole Bernadette Garland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780345306 PECOS PAC ID: 1254701022 Enrollment ID: I20230112001719 |
| Provider Name | Kristen Joy Albano Dela Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922755735 PECOS PAC ID: 0042684995 Enrollment ID: I20230316001597 |
| Provider Name | Jessica Cooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659078665 PECOS PAC ID: 2062879414 Enrollment ID: I20230531001479 |
| Provider Name | Sheena Marie M Villaroman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124707716 PECOS PAC ID: 0648620872 Enrollment ID: I20240820003880 |
| Provider Name | Carlos Ruben Cisneros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417563362 PECOS PAC ID: 7810433349 Enrollment ID: I20240930001861 |
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Aids Healthcare Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1815 E Lake Mead Blvd, Suite 113, North Las Vegas, NV 89030 Phone: 323-436-5019 | |
Th First Well Team Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3365 W Craig Rd Ste 19, North Las Vegas, NV 89032 Phone: 725-203-9358 | |
Modern Care Chiropractic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3925 N. Martin Luther King Blvd., Suite 120, North Las Vegas, NV 89032 Phone: 702-900-2709 | |
West Health Team Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3365 W Craig Rd Ste 9, North Las Vegas, NV 89032 Phone: 702-670-8171 | |
Beautiful Minds Primary Care Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3550 W Cheyenne Ave Ste 100-130, North Las Vegas, NV 89032 Phone: 702-331-1917 Fax: 702-331-5219 |