Organization Active NPI

SG Clinical

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1033073994
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SG CLINICAL
Practice address
2451 Professional CT Ste 180
Las Vegas, NV 89128-0827
Phone
(702) 409-3770
Fax
(702) 240-6545
NPI assigned
Dec 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Sean Su, MD
Title
MD
Phone
(702) 338-9500

Specialties & licenses 1

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

Addresses

Primary practice location

2451 Professional CT Ste 180
Las Vegas, NV 89128-0827

Mailing address

2451 Professional CT Ste 110
Las Vegas, NV 89128-0827
Phone (702) 409-3770

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
29D2226160SG Clinical SMG2451 Professional CT #110, Las Vegas, NV 89128Certificate of waiverNov 21, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1033073994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 PROFESSIONAL CT STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280827",
            "telephone_number": "702-409-3770",
            "fax_number": "702-240-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 PROFESSIONAL CT STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280827",
            "telephone_number": "702-409-3770",
            "fax_number": "702-240-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG CLINICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "702-338-9500",
        "authorized_official_credential": "MD"
    },
    "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 Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.