Individual provider Active NPI

Victoria Guerra Farley, M.D.

  • Dermatology Physician
  • Las Vegas, NV
National Provider Identifier
1013039072
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
13865 Issued in NV
Practice address
6460 Medical Center St Ste 200
Las Vegas, NV 89148-2421
Phone
(702) 255-6647
Fax
(702) 933-1444
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13865 NV
Dermatology Physician 207N00000X 13865 NV Primary

Addresses

Primary practice location

6460 Medical Center St Ste 200
Las Vegas, NV 89148-2421

Mailing address

6460 Medical Center St Ste 200
Las Vegas, NV 89148-2421
Phone (702) 255-6647

Other identifiers 1

IdentifierTypeStateIssuer
1013039072MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110816000479 NV Practitioner - Dermatology 7810081890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at San Antonio, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fife Dermatology PCGroup PAC ID 1355480252, 17 clinicians

Practice addresses (Care Compare)

6460 Medical Ctr St
Suite 350
Las Vegas, NV 89148-2423
Phone (702) 255-6647

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions901
Removal or shaving of skin growth57
Skin biopsy200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13865NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Medical Group Coats LTD Dermatology Current Accepting new patients
Fife Dermatology, P.C. CurrentSince Jan 1, 2016 Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Canyon Gate Medical Group, LLC Internal Medicine Past Accepting new patients

Locations

1736 W Horizon Ridge Pkwy
Henderson, NV 89012
Phone (702) 255-6647

6460 Medical Center St
Ste 230
Las Vegas, NV 89148

6460 Medical Center St
Ste 350
Las Vegas, NV 89148
Phone (702) 255-6647

2110 E Flamingo Rd
Ste 213
Las Vegas, NV 89119
Phone (702) 255-6647

6460 Medical Center St
Ste 200
Las Vegas, NV 89148
Phone (702) 255-6647

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013039072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 MEDICAL CENTER ST STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482421",
            "telephone_number": "702-255-6647",
            "fax_number": "702-933-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6460 MEDICAL CENTER ST STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482421",
            "telephone_number": "702-255-6647",
            "fax_number": "702-933-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "VICTORIA",
        "middle_name": "GUERRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "13865",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NV",
            "license": "13865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013039072",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.