| Vegas Valley Infusion Care | |
|
8530 W Sunset Rd Ste 330 Las Vegas NV 89113-2247 | |
| (702) 998-8842 | |
| (702) 998-4445 |
| Full Name | Vegas Valley Infusion Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 8530 W Sunset Rd Ste 330, Las Vegas, Nevada |
| Authorized Official Name and Position | Lindsay Gambit (CEO) |
| Authorized Official Contact | 7029988842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vegas Valley Infusion Care 8530 W Sunset Rd Ste 330 Las Vegas NV 89113-2247 Ph: (702) 998-8842 | Vegas Valley Infusion Care 8530 W Sunset Rd Ste 330 Las Vegas NV 89113-2247 Ph: (702) 998-8842 |
| NPI Number | 1154801546 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 08/26/2024 |
| Medicare PECOS PAC ID | 4688928773 |
|---|---|
| Medicare Enrollment ID | O20181107003374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154801546 | NPI | - | NPPES |
| 1548385594 | Other | NV | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 20181556968 (Nevada) | Secondary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Primary |
| Provider Name | Crispino Santos Santos |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1134128333 PECOS PAC ID: 5890782361 Enrollment ID: I20040427001048 |
| Provider Name | Leslie M Denton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548385594 PECOS PAC ID: 4789725755 Enrollment ID: I20100113000301 |
| Provider Name | Catherine Karno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144516345 PECOS PAC ID: 0143535245 Enrollment ID: I20171121000356 |
| Provider Name | Jessicka Lynn Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184257818 PECOS PAC ID: 4486005238 Enrollment ID: I20240105003478 |
| Provider Name | Annelise Lenn Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740855980 PECOS PAC ID: 1759782279 Enrollment ID: I20240111002856 |
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