Active NPI
Luis Medina-Garcia MD PLLC
- Infectious Disease Physician
- Las Vegas, NV
National Provider Identifier
1033847801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- LUIS MEDINA-GARCIA MD PLLC
- Practice address
- 840 S Rancho Dr Ste 4-917
Las Vegas, NV 89106-3837 - Phone
- (702) 461-9535
- NPI assigned
- Aug 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luis Medina-Garcia, MD
- Title
- Owner
- Phone
- (702) 461-9535
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
840 S Rancho Dr Ste 4-917
Las Vegas, NV 89106-3837
Mailing address
840 S Rancho Dr Ste 4-917
Las Vegas, NV 89106-3837
Phone (702) 461-9535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
840 S Rancho Dr
Ste 4917
Las Vegas, NV 89106
Phone (702) 461-9535
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Las Vegas, NV
- NPI 1013236405
-
- Family Nurse Practitioner
- North Las Vegas, NV
- NPI 1457190019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660089600000",
"number": "1033847801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 S RANCHO DR STE 4-917",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063837",
"telephone_number": "702-461-9535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 S RANCHO DR STE 4-917",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063837",
"telephone_number": "702-461-9535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUIS MEDINA-GARCIA MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A",
"authorized_official_last_name": "MEDINA-GARCIA",
"authorized_official_first_name": "LUIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-461-9535",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"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 Aug 10, 2022; 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.