| Vegas Valley Primary Care | |
|
2810 S Rainbow Blvd Ste B Las Vegas NV 89146-5150 | |
| (702) 791-1326 | |
| Not Available |
| Full Name | Vegas Valley Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 2810 S Rainbow Blvd Ste B, Las Vegas, Nevada |
| Authorized Official Name and Position | Alok Saxena (MANGING MEMBER) |
| Authorized Official Contact | 7029216829 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vegas Valley Primary Care 5380 S Rainbow Blvd Suite 110 Las Vegas NV 89118-1877 Ph: (702) 791-1326 | Vegas Valley Primary Care 2810 S Rainbow Blvd Ste B Las Vegas NV 89146-5150 Ph: (702) 791-1326 |
| NPI Number | 1881706109 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 02/07/2020 |
| Medicare PECOS PAC ID | 3476539552 |
|---|---|
| Medicare Enrollment ID | O20040629000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881706109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Abhinav Sinha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376764779 PECOS PAC ID: 7719978832 Enrollment ID: I20040519000218 |
| Provider Name | Sharon B Landers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184693962 PECOS PAC ID: 4587669338 Enrollment ID: I20060929000006 |
| Provider Name | Manoj Nath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881799146 PECOS PAC ID: 0042101156 Enrollment ID: I20070301000692 |
| Provider Name | Stephen L Tam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689738478 PECOS PAC ID: 2567565492 Enrollment ID: I20070314000538 |
| Provider Name | Chukwuemeka O Iroha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619942554 PECOS PAC ID: 9931290095 Enrollment ID: I20070806000030 |
| Provider Name | Nerissa C Cunanan Dimailig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629390786 PECOS PAC ID: 9234260613 Enrollment ID: I20100629000339 |
| Provider Name | Alok Chandra Saxena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629099379 PECOS PAC ID: 0840276713 Enrollment ID: I20100923000648 |
| Provider Name | Jenerie R Navarrete Pak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811238579 PECOS PAC ID: 6305075029 Enrollment ID: I20140129001012 |
| Provider Name | Jayson Paulo A Agaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255761391 PECOS PAC ID: 1456582832 Enrollment ID: I20140327002110 |
| Provider Name | Ma Victoria Escarda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962883553 PECOS PAC ID: 6800100678 Enrollment ID: I20150806012717 |
| Provider Name | Jean-marie Swaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265805634 PECOS PAC ID: 8628374832 Enrollment ID: I20160315001693 |
| Provider Name | Elias Ugwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942546296 PECOS PAC ID: 4284933391 Enrollment ID: I20160425000475 |
| Provider Name | Jessila Woodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154787497 PECOS PAC ID: 0547551038 Enrollment ID: I20160613002164 |
| Provider Name | Remeliza N Tukay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275874257 PECOS PAC ID: 2264721042 Enrollment ID: I20170525000445 |
| Provider Name | Brenda Gaile Primero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831613025 PECOS PAC ID: 7618241670 Enrollment ID: I20170914003555 |
| Provider Name | Gladys G Frondarina-beltran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922526474 PECOS PAC ID: 9830104827 Enrollment ID: I20171101002379 |
| Provider Name | Dorothy May Agdamag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780195446 PECOS PAC ID: 0840558524 Enrollment ID: I20180102000167 |
| Provider Name | Genevie Kneir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760922017 PECOS PAC ID: 1951660810 Enrollment ID: I20180123000009 |
| Provider Name | Marissa Schanbacher Adolfo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700302791 PECOS PAC ID: 5991079568 Enrollment ID: I20180207002903 |
| Provider Name | Leeanne Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497935902 PECOS PAC ID: 8527320639 Enrollment ID: I20180328002907 |
| Provider Name | Michael Allen Engler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245647205 PECOS PAC ID: 5395032916 Enrollment ID: I20180524002448 |
| Provider Name | Ogbugo Kalu Emeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265774426 PECOS PAC ID: 8921393687 Enrollment ID: I20180713002064 |
| Provider Name | Dithra Ann Cotton-lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487159182 PECOS PAC ID: 0749539161 Enrollment ID: I20180817002985 |
| Provider Name | Levi Gaile Alayon Galicia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639784655 PECOS PAC ID: 4789094004 Enrollment ID: I20201027002964 |
| Provider Name | Myles Angelo Aranda Ferrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760089544 PECOS PAC ID: 8325453707 Enrollment ID: I20210217000622 |
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