| Valley Primary Care Center Llc | |
|
6867 W Charleston Blvd Ste B Las Vegas NV 89117-1669 | |
| (702) 921-6823 | |
| (702) 252-4405 |
| Full Name | Valley Primary Care Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6867 W Charleston Blvd Ste B, Las Vegas, Nevada |
| Authorized Official Name and Position | Ritu D Joshi (PHYSICIAN) |
| Authorized Official Contact | 7023826100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Primary Care Center Llc Po Box 400548 Las Vegas NV 89140-0548 Ph: (702) 921-6829 | Valley Primary Care Center Llc 6867 W Charleston Blvd Ste B Las Vegas NV 89117-1669 Ph: (702) 921-6823 |
| NPI Number | 1568659381 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 11/22/2021 |
| Medicare PECOS PAC ID | 1254392806 |
|---|---|
| Medicare Enrollment ID | O20041026000891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568659381 | NPI | - | NPPES |
| 100505630 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 8444 (Nevada) | Primary |
| Provider Name | Ritu D Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679563241 PECOS PAC ID: 3870554421 Enrollment ID: I20041027000151 |
| Provider Name | Marilou D Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891127775 PECOS PAC ID: 7911132055 Enrollment ID: I20131028000935 |
| Provider Name | Kristina Clarisse Madriaga Doble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326587155 PECOS PAC ID: 7416231600 Enrollment ID: I20170307002728 |
| Provider Name | Anthony T Ligones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093210577 PECOS PAC ID: 2365797487 Enrollment ID: I20180613002539 |
| Provider Name | Michelle Leslie Albaran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376030619 PECOS PAC ID: 3779835095 Enrollment ID: I20181015000457 |
| Provider Name | Ruel L Mariano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114481785 PECOS PAC ID: 3476893504 Enrollment ID: I20190327001362 |
| Provider Name | Nancy Tamin Sahagun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568930972 PECOS PAC ID: 4587905674 Enrollment ID: I20190418002021 |
| Provider Name | Jennifer Barreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942776364 PECOS PAC ID: 5092057091 Enrollment ID: I20190423000908 |
| Provider Name | Rajesh Sonani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366899585 PECOS PAC ID: 7113210980 Enrollment ID: I20190717000465 |
| Provider Name | Semhar Isaak Tsegai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770109548 PECOS PAC ID: 8224456132 Enrollment ID: I20200909001914 |
| Provider Name | Simon Zeray Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528685005 PECOS PAC ID: 8426468968 Enrollment ID: I20201111002737 |
| Provider Name | Julio Arvie Mata Madarazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144828849 PECOS PAC ID: 7810304110 Enrollment ID: I20210405000814 |
| Provider Name | Melanie Masangkay Paluay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609456979 PECOS PAC ID: 4183023666 Enrollment ID: I20210603001932 |
| Provider Name | Ruth Alma Vanessa Lim Relucio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598407652 PECOS PAC ID: 8426430802 Enrollment ID: I20220802000334 |
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