NPIMap

Organization Active NPI

Trusted Primary Care

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1114509809
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRUSTED PRIMARY CARE
Practice address
4131 University Center Dr
Las Vegas, NV 89119-6718
Phone
(702) 796-3112
Fax
(702) 796-3152
NPI assigned
Apr 22, 2021
Organization subpart
Yes
Parent organization
NATHAN ADELSON HOSPICE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Karen Rubel
Title
President and Ceo
Phone
(702) 796-3112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4131 University Center Dr
Las Vegas, NV 89119-6718

Mailing address

4131 University Center Dr
Las Vegas, NV 89119-6718
Phone (702) 796-3112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070821000048 NV Part B Supplier - Clinic/Group Practice 6709820129 Receives reassigned benefits from 22 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Henderson, NV; Las Vegas, NV; Pahrump, NV

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Nathan Adelson Hospice3 organizations share this tax ID, including this one
Part of
Nathan Adelson Hospice

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4131 University Center Dr
Las Vegas, NV 89119
Phone (702) 796-3112

2270 Commercial Dr
Ste A
Pahrump, NV 89048
Phone (702) 751-6700

1401 S Nevada Highway 160
Ste B
Pahrump, NV 89048
Phone (775) 727-7800

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1114509809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 UNIVERSITY CENTER DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196718",
            "telephone_number": "702-796-3112",
            "fax_number": "702-796-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 UNIVERSITY CENTER DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196718",
            "telephone_number": "702-796-3112",
            "fax_number": "702-796-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTED PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATHAN ADELSON HOSPICE INC",
        "enumeration_date": "2021-04-22",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "RUBEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "702-796-3112"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE 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 Jan 26, 2022; 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.