Organization Active NPI

Azure Guerra PLLC

Doing business as Azure Integrated Care

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1124341755
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11608 Issued in NV
Legal business name
AZURE GUERRA PLLC
Doing business as
Azure Integrated Care
Practice address
1701 S Bearden Dr
Suite 201
Las Vegas, NV 89106
Phone
(702) 685-3428
Fax
(702) 476-9434
NPI assigned
Mar 10, 2010
Last updated
Nov 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Tonya Rushing
Title
Consultant
Phone
(702) 202-3431

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11608 NV Primary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 11608 NV

Addresses

Primary practice location

1701 S Bearden Dr
Suite 201
Las Vegas, NV 89106

Mailing address

PO Box 36605
Las Vegas, NV 89133
Phone (702) 202-3431

Other identifiers 1

IdentifierTypeStateIssuer
1124341755MedicaidNV

Other names 1

  • Azure Integrated Care Doing business as

National Provider Directory

National Provider Directory

Locations

4240 W Flamingo Rd
Ste 100
Las Vegas, NV 89103
Phone (702) 367-0808

8430 W Lake Mead Blvd
Ste 100
Las Vegas, NV 89128
Phone (702) 576-9870

Practitioners & affiliated clinicians

Practitioners 5

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": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1124341755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36605",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89133",
            "telephone_number": "702-202-3431",
            "fax_number": "702-202-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S BEARDEN DR",
            "address_2": "SUITE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-685-3428",
            "fax_number": "702-476-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZURE GUERRA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "RUSHING",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "702-202-3431"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11608",
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "NV",
            "license": "11608",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124341755",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azure Integrated Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 18, 2011; 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.