NPIMap

Organization Active NPI

Ominike LLC

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1104630201
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OMINIKE LLC
Practice address
9222 Snow Flower Ave
Las Vegas, NV 89147-6843
Phone
(702) 624-6292
NPI assigned
Feb 7, 2025
Last updated
Feb 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Yadira Hernandez LeonNPI 1063144558
Title
Manager
Phone
(702) 624-6292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9222 Snow Flower Ave
Las Vegas, NV 89147-6843

Mailing address

9222 Snow Flower Ave
Las Vegas, NV 89147-6843
Phone (702) 624-6292

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1104630201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9222 SNOW FLOWER AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476843",
            "telephone_number": "702-624-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9222 SNOW FLOWER AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476843",
            "telephone_number": "702-624-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMINIKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ LEON",
        "authorized_official_first_name": "YADIRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-624-6292"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family 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 Feb 7, 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.