Organization Active NPI

Pinnova Medical Group

  • Primary Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1063348803
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PINNOVA MEDICAL GROUP
Practice address
501 S Rancho Dr Ste F38
Las Vegas, NV 89106-4834
Phone
(702) 688-3286
NPI assigned
Jun 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Taiyan Hawkins
Title
Owner
Phone
(702) 688-3286

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

501 S Rancho Dr Ste F38
Las Vegas, NV 89106-4834

Mailing address

501 S Rancho Dr Ste F38
Las Vegas, NV 89106-4834
Phone (702) 688-3286

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1063348803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S RANCHO DR STE F38",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064834",
            "telephone_number": "702-688-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S RANCHO DR STE F38",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064834",
            "telephone_number": "702-688-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNOVA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "TAIYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-688-3286"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.