Las Vegas Primary Care, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R36466NM Issued in NM

Legal business name

LAS VEGAS PRIMARY CARE, INC

Practice address

2020 7TH St
Las Vegas, NM 87701-4958

Phone

(505) 425-6731

Fax

(505) 454-1185

NPI assigned

Jan 19, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pat A Roybal

Title

Office Manager

Phone

(505) 982-0123

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William J Blake, DPM

  • Podiatrist
  • Santa Fe, NM
  • NPI 1831100502
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1003053679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CALLE MEDICO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054764",
            "telephone_number": "505-982-0123",
            "fax_number": "505-982-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 7TH ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014958",
            "telephone_number": "505-425-6731",
            "fax_number": "505-454-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS PRIMARY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "ROYBAL",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-982-0123"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "R36466NM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Las Vegas Bodyworks LLC
• Las Vegas City Schools
• Las Vegas Clinic for Children & Youth
• Las Vegas Foot Specialist, Inc
• Las Vegas Physical Therapy LLC
• Las Vegas Stat Care Inc.
• Las Vegas Urgent Care
• Laughing Ratz Anesthesia and Pain Management LLC
• Cher C. Lefebvre, DH
• Legacy Hospice, L.L.C

• Family Medicine Physician in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.