Las Vegas Mobile Medical Group PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAS VEGAS MOBILE MEDICAL GROUP PC

Practice address

9017 S Pecos Rd Ste 4540
Henderson, NV 89074-6604

Phone

(626) 347-8548

NPI assigned

Jan 4, 2024

Organization subpart

No

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

Authorized official

Name

Shylee TiamsonNPI 1053779322

Title

Owner/Authorized Official

Phone

(626) 347-8548

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shylee Bautista Tiamson, NP

  • Family Nurse Practitioner
  • West Covina, CA
  • NPI 1053779322
  NPD (past) Authorized official
• Carlota Barde Cinco, NP

  • Family Nurse Practitioner
  • Merced, CA
  • NPI 1891336301
  NPD
• Kesha Saucier, NP, LMFT, LEP

  • Psychiatric/Mental Health Nurse Practitioner
  • Seal Beach, CA
  • NPI 1407254881
  NPD

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1144090770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9017 S PECOS RD STE 4540",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9017 S PECOS RD STE 4540",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746604",
            "telephone_number": "626-347-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS MOBILE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "TIAMSON",
        "authorized_official_first_name": "SHYLEE",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "626-347-8548"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Las Vegas Pain Relief Centers(Russo),PC
• Las Vegas Physical Therapy LLC
• Las Vegas Recovery Hospital LLC
• Las Vegas Recovery Hospital LLC

• Family Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.