SPC Capital LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

4388ASC-0 Issued in NV

Legal business name

SPC CAPITAL LLC

Practice address

1569 E Flamingo Rd
Las Vegas, NV 89119-5131

Phone

(702) 633-0253

Fax

(702) 633-0334

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Hawley

Title

Administrator

Phone

(702) 633-0253

Specialties & licenses 1

Addresses

Other names 1

• LAS VEGAS SPECIALTY SURGICAL CENTER Doing business as

Practitioners 1

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

• Soungdon Chung, D.C

  • Independent Medical Examiner Chiropractor
  • Los Angeles, CA
  • NPI 1942477229
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194775403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 E FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195131",
            "telephone_number": "702-633-0253",
            "fax_number": "702-633-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 E FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195131",
            "telephone_number": "702-633-0253",
            "fax_number": "702-633-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPC CAPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAWLEY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-633-0253",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "4388ASC-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAS VEGAS SPECIALTY SURGICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Spath
• Angelica Danielle Spatz
• Victoria Ann Spatzier
• Heather Spaulding, APRN-CNS
• Regina Spaur-Mead
• Speakeasy Therapy Services, LLC
• Speakeasy Therapy Services, LLC
• Rosalinda Speaks
• Carolyn Spearman, B.S.
• Leilani Spearman

• Ambulatory Surgical Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.