Active NPI
Blue Zone Innergy
- Health Service Clinic/Center
- Las Vegas, NV
National Provider Identifier
1124672464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.