Individual provider Active NPI

Jennifer Saquing Gopeng, MD

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1184867806
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17465 Issued in NV
Practice address
8440 W Lake Mead Blvd Ste 111
Las Vegas, NV 89128-7648
Phone
(888) 854-7672
NPI assigned
Apr 10, 2009
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A105644 CA
Family Medicine Physician 207Q00000X 45316 AZ
Family Medicine Physician 207Q00000X 17465 NV Primary

Addresses

Primary practice location

8440 W Lake Mead Blvd Ste 111
Las Vegas, NV 89128-7648

Mailing address

8440 W Lake Mead Blvd Ste 111
Las Vegas, NV 89128-7648
Phone (888) 854-7672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101208000029 CA Practitioner - Family Practice 1052508793
I20180219000664 NV Practitioner - Family Practice 1052508793 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
104655CAMDMarriage & Family Therapist
45316AZMDFamily Medicine Physician
A105644CAMDFamily Medicine Physician
17465NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc Family Medicine CurrentSince Dec 12, 2022 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Dec 12, 2022 Accepting new patients
Marcus Zachary, D.O., P.C. Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Gopengmd Prof LLC Current Accepting new patients
Nevada Acute Medical Services-Scherr 1 PC CurrentSince Feb 1, 2018 Accepting new patients

Locations

7111 N Fresno St
Ste 200
Fresno, CA 93720
Phone (415) 353-6817

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

4015 McLeod Dr
Las Vegas, NV 89121
Phone (702) 433-2200

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

6355 S Buffalo Dr
Las Vegas, NV 89113
Phone (702) 952-9171

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

7391 W Charleston Blvd
Ste 140
Las Vegas, NV 89117
Phone (702) 233-0684

8440 W Lake Mead Blvd
Ste 111
Las Vegas, NV 89128
Phone (702) 363-9000

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Interoperability endpoints

  • Direct secure messaging: jennifergopeng@hcpnv.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1184867806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 W LAKE MEAD BLVD STE 111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287648",
            "telephone_number": "888-854-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 W LAKE MEAD BLVD STE 111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287648",
            "telephone_number": "888-854-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPENG",
        "first_name": "JENNIFER",
        "middle_name": "SAQUING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A105644",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "45316",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "17465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.