Active NPI
Hope Medical Clinic PLLC
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1083229587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HOPE MEDICAL CLINIC PLLC
- Practice address
- 7455 W Azure Dr Ste 140
Las Vegas, NV 89130-4431 - Phone
- (725) 780-4351
- Fax
- (725) 780-4339
- NPI assigned
- Sep 11, 2020
- 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
- Rowena Achin, MD
- Title
- President
- Phone
- (725) 780-4339
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
7455 W Azure Dr Ste 140
Las Vegas, NV 89130-4431
Mailing address
7455 W Azure Dr Ste 140
Las Vegas, NV 89130-4431
Phone (725) 780-4351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201009000260 | NV | Part B Supplier - Clinic/Group Practice | 9234559477 |
Receives reassigned benefits from 4 practitioners Practice locations: Las Vegas, NV |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1356652788
Internal Medicine, NV
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1316345788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599782400000",
"number": "1083229587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7455 W AZURE DR STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891304431",
"telephone_number": "725-780-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7455 W AZURE DR STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891304431",
"telephone_number": "725-780-4351",
"fax_number": "725-780-4339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE MEDICAL CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-11",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A",
"authorized_official_last_name": "ACHIN",
"authorized_official_first_name": "ROWENA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "725-780-4339",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal 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 Sep 11, 2020; 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.