Organization Active NPI

Red Rock Hospitalist Group P.C.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1043784929
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RED ROCK HOSPITALIST GROUP P.C.
Practice address
2850 S Jones Blvd Ste 1
Las Vegas, NV 89146-5640
Phone
(702) 910-2800
NPI assigned
Jan 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Nina Stefanova, MDNPI 1992955769
Title
Owner
Phone
(702) 910-2800

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: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2850 S Jones Blvd Ste 1
Las Vegas, NV 89146-5640

Mailing address

2850 S Jones Blvd Ste 1
Las Vegas, NV 89146-5640
Phone (702) 910-2800

Other names 1

  • Red Rock Family Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201020002773 NV Part B Supplier - Clinic/Group Practice 0941620512 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
29D2313948Red Rock Family Clinic2850 S Jones Blvd Ste 1, Las Vegas, NV 89146Certificate of waiverNov 7, 2026

National Provider Directory

National Provider Directory

Locations

4811 W Desert Inn Rd
Ste B
Las Vegas, NV 89102
Phone (702) 910-2800

2850 S Jones Blvd
Ste 1
Las Vegas, NV 89146
Phone (702) 910-2800

3277 E Warm Springs Rd
Ste 200
Las Vegas, NV 89120
Phone (702) 224-2525

Practitioners & affiliated clinicians

Practitioners 2

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": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1043784929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 S JONES BLVD STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465640",
            "telephone_number": "702-910-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 S JONES BLVD STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465640",
            "telephone_number": "702-910-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK HOSPITALIST GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "STEFANOVA",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-910-2800",
        "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": [
        {
            "organization_name": "Red Rock Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Red Rock Family Clinic",
            "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 May 15, 2023; 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.