Organization Active NPI

Malvar Medical Associates LLC

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1073337549
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MALVAR MEDICAL ASSOCIATES LLC
Practice address
8460 S Eastern Ave Ste B
Las Vegas, NV 89123-2865
Phone
(725) 252-4226
NPI assigned
Nov 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Irene Malvar, NP
Title
Ceo
Phone
(702) 702-9722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

8460 S Eastern Ave Ste B
Las Vegas, NV 89123-2865

Mailing address

8460 S Eastern Ave Ste B
Las Vegas, NV 89123-2865
Phone (725) 252-4226

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250903001006 NV Part B Supplier - Clinic/Group Practice 0446751101 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

8460 S Eastern Ave
Ste B
Las Vegas, NV 89123
Phone (702) 927-7741

Practitioners & affiliated clinicians

Practitioners 1

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": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1073337549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8460 S EASTERN AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232865",
            "telephone_number": "725-252-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8460 S EASTERN AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232865",
            "telephone_number": "725-252-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALVAR MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "MALVAR",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-702-9722",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "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 Oct 15, 2025; 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.