Organization Active NPI

Blue Zone Innergy

  • Health Service Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1124672464
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BLUE ZONE INNERGY
Practice address
2780 S Jones Blvd # 3665
Las Vegas, NV 89146-5628
Phone
(844) 771-0115
NPI assigned
Jul 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Ms. Ria Galang
Title
President
Phone
(844) 771-0115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2780 S Jones Blvd # 3665
Las Vegas, NV 89146-5628

Mailing address

2780 S Jones Blvd # 3665
Las Vegas, NV 89146-5628
Phone (844) 771-0115

National Provider Directory

National Provider Directory

Locations

2780 S Jones Blvd
#3665
Las Vegas, NV 89146
Phone (844) 771-0115

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1124672464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD # 3665",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465628",
            "telephone_number": "844-771-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD # 3665",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465628",
            "telephone_number": "844-771-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ZONE INNERGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "GALANG",
        "authorized_official_first_name": "RIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-771-0115",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "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 Mar 21, 2023; 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.