Organization Active NPI

Palliative Care of Las Vegas, LLC

  • Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1083501597
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PALLIATIVE CARE OF LAS VEGAS, LLC
Practice address
4938 Jeremy Dr
Las Vegas, NV 89113-0104
Phone
(702) 849-2504
NPI assigned
Jun 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Anthony Brando So Opimo, DNP, AGACNP-BCNPI 1962057414
Title
Nurse Practitioner
Phone
(702) 849-2504

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4938 Jeremy Dr
Las Vegas, NV 89113-0104

Mailing address

4938 Jeremy Dr
Las Vegas, NV 89113-0104
Phone (702) 849-2504

National Provider Directory

National Provider Directory

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": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1083501597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4938 JEREMY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130104",
            "telephone_number": "702-849-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4938 JEREMY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130104",
            "telephone_number": "702-849-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLIATIVE CARE OF LAS VEGAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "OPIMO",
        "authorized_official_first_name": "ANTHONY BRANDO",
        "authorized_official_middle_name": "SO",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "702-849-2504",
        "authorized_official_credential": "DNP, AGACNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 18, 2025; 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.