Rogelio Machuca MD Family Medicine, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

G64-07911 Issued in NV

Legal business name

ROGELIO MACHUCA MD FAMILY MEDICINE, PLLC

Practice address

546 N Eastern Ave Ste 140
Las Vegas, NV 89101-3485

Phone

(702) 778-7614

Fax

(702) 778-7615

NPI assigned

Nov 17, 2016

Organization subpart

No

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

Authorized official

Name

Rogelio Machuca, MD

Title

Owner

Phone

(702) 778-7614

Specialties & licenses 1

Addresses

Other names 1

• Machuca Behavioral Health Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Rogelio Machuca MD Family Medicine, PLLC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1235412073

  O20111003000438

  Same enrollment

Tax ID family

Machuca Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rogelio Machuca MD Family Medicine, PLLC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1235412073
  NPD tax ID

Locations

Practitioners 1

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

• Amauri Santiago Rosales Ponce de Leon, APRN-CNP

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1205454295
  NPD

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1023551355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 N EASTERN AVE STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013485",
            "telephone_number": "702-778-7614",
            "fax_number": "702-778-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 N EASTERN AVE STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013485",
            "telephone_number": "702-778-7614",
            "fax_number": "702-778-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGELIO MACHUCA MD FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "MACHUCA",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-778-7614",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "G64-07911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Machuca Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Louise Roets, MFT-INTERN
• Randy Roferos, LPN
• Jessica Blanco Rogando, FNP-C
• Gloria E. Rogel, LIFE COACH / AUTHOR
• Sonia Rogel
• Rogelio Machuca MD Family Medicine, PLLC
• Roger Estevez MD PC
• Roger Paez O.D. Chartered
• Roger W. Hsiung MD PLLC
• Antoine Rogers Jr

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.