Alonso Medical Center PLLC
Organization Active NPI Family Medicine Physician · North Las Vegas, NV
NPI 1194545962 · NPPES record last updated Jan 28, 2025
Key facts
- NPI
- 1194545962
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ALONSO MEDICAL CENTER PLLC
- Practice address
- 1820 E Lake Mead Blvd
North Las Vegas, NV 89030-0160 - Phone
- (702) 475-4352
- Fax
- (702) 356-8971
- NPI assigned
- Oct 15, 2024
- Organization subpart
- No
Authorized official
- Name
- Oscar Alonso, NP
- Title
- Provider
- Phone
- (702) 475-4352
Practitioners 8
-
Oscar Alonso Oduardo, APRN
-
Alberto Lopez, APRN
-
Francisco Perez Sanchez, APRN
-
Bernardo Revilla Fiol, FNP-BC, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241217000094 | NV | Part B Supplier - Clinic/Group Practice | 7810424702 |
Receives reassigned benefits from 8 practitioners Practice locations: North Las Vegas, NV |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Family Medicine Physician |
207Q00000X | Yes | ||
| Obstetrics & Gynecology Physician |
207V00000X |
Addresses
Primary practice location
1820 E Lake Mead Blvd
North Las Vegas, NV 89030-0160
Mailing address
1820 E Lake Mead Blvd
North Las Vegas, NV 89030-0160
Phone (702) 475-4352
Other providers in North Las Vegas, NV
- Yaila Almaguer Fernandez
- Kristine M Alomari
- Alonso & Fiol Mental Health Group PLLC
- Alonso and Tamayo Elite Wound Care Center, PLLC
- Marta Alonso Diaz
- Alonso Total Care PLLC
- Ian David Alonso
- Monika Tara D Alonso
- Vicki M Alpough
- Sheila Alston
All providers in North Las Vegas, NV · Family Medicine Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.