Organization Active NPI

Clear Mind Health and Wellness LLC

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1003620469
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLEAR MIND HEALTH AND WELLNESS LLC
Practice address
3430 E Flamingo Rd Ste 221
Las Vegas, NV 89121-5065
Phone
(702) 713-5529
NPI assigned
Feb 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Antonio Lobaina Breff, OWNER
Title
Director
Phone
(702) 713-5529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3430 E Flamingo Rd Ste 221
Las Vegas, NV 89121-5065

Mailing address

3430 E Flamingo Rd Ste 221
Las Vegas, NV 89121-5065
Phone (702) 713-5529

National Provider Directory

National Provider Directory

Locations

3430 E Flamingo Rd
Ste 221
Las Vegas, NV 89121
Phone (702) 449-9143

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1003620469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD STE 221",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215065",
            "telephone_number": "702-713-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD STE 221",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215065",
            "telephone_number": "702-713-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MIND HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "LOBAINA BREFF",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-713-5529",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.