Organization Active NPI

Zenith Health Inc

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1003641895
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ZENITH HEALTH INC
Practice address
9555 S Eastern Ave Ste 260
Las Vegas, NV 89123-8008
Phone
(702) 447-0333
Fax
(702) 447-0340
NPI assigned
Sep 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Rowena PanganibanNPI 1538503677
Title
Practice Owner
Phone
(702) 769-9368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9555 S Eastern Ave Ste 260
Las Vegas, NV 89123-8008

Mailing address

9555 S Eastern Ave Ste 260
Las Vegas, NV 89123-8008
Phone (702) 447-0333

Other identifiers 1

IdentifierTypeStateIssuer
NV20151566945MedicaidNV

Other names 1

  • Zenith Health & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250220003893 NV Part B Supplier - Clinic/Group Practice 6002336039 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2321990Zenith Health & Wellness9555 S Eastern Ave Suite 260, Las Vegas, NV 89123Certificate of waiverApr 13, 2027

National Provider Directory

National Provider Directory

Locations

9555 S Eastern Ave
Ste 260
Las Vegas, NV 89123
Phone (702) 447-0333

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1003641895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 S EASTERN AVE STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238008",
            "telephone_number": "702-447-0333",
            "fax_number": "702-447-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 S EASTERN AVE STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238008",
            "telephone_number": "702-447-0333",
            "fax_number": "702-447-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZENITH HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "PANGANIBAN",
        "authorized_official_first_name": "ROWENA",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "702-769-9368"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NV20151566945",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zenith Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.