Organization Active NPI

Breeze Medical Center

  • Family Medicine Physician
  • North Las Vegas, NV
National Provider Identifier
1124939996
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BREEZE MEDICAL CENTER
Practice address
1229 Deep Valley Ave
North Las Vegas, NV 89084-4004
Phone
(702) 541-3735
NPI assigned
Sep 12, 2026
Last updated
Sep 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Authorized official

Name
Yandy Pomares Moreno
Title
Owner
Phone
(702) 541-3735

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Counselor 101Y00000X NU
Family Medicine Physician 207Q00000X NU Primary
Pain Medicine Physician 208VP0000X NU

Addresses

Primary practice location

1229 Deep Valley Ave
North Las Vegas, NV 89084-4004

Mailing address

1229 Deep Valley Ave
North Las Vegas, NV 89084-4004
Phone (702) 541-3735

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789171200000",
    "number": "1124939996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 DEEP VALLEY AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890844004",
            "telephone_number": "702-541-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 DEEP VALLEY AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890844004",
            "telephone_number": "702-541-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREEZE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-12",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A",
        "authorized_official_last_name": "POMARES MORENO",
        "authorized_official_first_name": "YANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-541-3735"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; 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.