NPIMap

Organization Active NPI

HC 168 LLC

  • General Practice Physician
  • Las Vegas, NV
National Provider Identifier
1174282552
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HC 168 LLC
Practice address
2810 S Rainbow Blvd Ste B
Las Vegas, NV 89146-5150
Phone
(702) 202-3777
Fax
(702) 620-4036
NPI assigned
Dec 13, 2021
Last updated
Dec 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Lendley Galicia
Title
Practice Manager
Phone
(702) 202-3777

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Psychiatry Physician 2084P0800X
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

2810 S Rainbow Blvd Ste B
Las Vegas, NV 89146-5150

Mailing address

2810 S Rainbow Blvd Ste B
Las Vegas, NV 89146-5150
Phone (702) 202-3777

National Provider Directory

National Provider Directory

Locations

2810 S Rainbow Blvd
Ste B
Las Vegas, NV 89146
Phone (702) 202-3777

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1174282552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 S RAINBOW BLVD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465150",
            "telephone_number": "702-202-3777",
            "fax_number": "702-620-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 S RAINBOW BLVD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465150",
            "telephone_number": "702-202-3777",
            "fax_number": "702-620-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HC 168 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "GALICIA",
        "authorized_official_first_name": "LENDLEY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "702-202-3777"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "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 Dec 13, 2021; 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.