Active NPI
Realcare Wellness LLC
- Primary Care Clinic/Center
- Las Vegas, NV
National Provider Identifier
1134097058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- REALCARE WELLNESS LLC
- Practice address
- 732 S 6TH St # 8014
Las Vegas, NV 89101-6948 - Phone
- (725) 772-1939
- Fax
- (702) 442-4665
- NPI assigned
- Oct 24, 2025
- 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
- Mark Maxilom Polintan, APRN, FNP-C
- Title
- Nurse Practitioner/Owner
- Phone
- (725) 772-1939
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
732 S 6TH St # 8014
Las Vegas, NV 89101-6948
Mailing address
732 S 6TH St # 8014
Las Vegas, NV 89101-6948
Phone (725) 772-1939
National Provider Directory
National Provider DirectoryLocations
732 S 6th St
#8014
Las Vegas, NV 89101
Phone (725) 772-1939
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Encinitas, CA
- NPI 1306509971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761264000000",
"number": "1134097058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 S 6TH ST # 8014",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891016948",
"telephone_number": "725-772-1939",
"fax_number": "702-442-4665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 S 6TH ST # 8014",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891016948",
"telephone_number": "725-772-1939",
"fax_number": "702-442-4665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REALCARE WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-24",
"last_updated": "2025-10-24",
"certification_date": "2025-10-23",
"status": "A",
"authorized_official_last_name": "POLINTAN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "MAXILOM",
"authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
"authorized_official_telephone_number": "725-772-1939",
"authorized_official_credential": "APRN, FNP-C"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"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 Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.