Organization Active NPI

Skin Guard NV Inc

  • Wound Care Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1205640398
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
SKIN GUARD NV INC
Practice address
5787 W Haleh Ave
Las Vegas, NV 89141-9071
Phone
(571) 379-6548
NPI assigned
Feb 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Kenji Cadiz, RN
Title
Ceo
Phone
(571) 379-6548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WW0000X Primary

Addresses

Primary practice location

5787 W Haleh Ave
Las Vegas, NV 89141-9071

Mailing address

5787 W Haleh Ave
Las Vegas, NV 89141-9071
Phone (571) 379-6548

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1205640398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5787 W HALEH AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891419071",
            "telephone_number": "571-379-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5787 W HALEH AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891419071",
            "telephone_number": "571-379-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN GUARD NV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "CADIZ",
        "authorized_official_first_name": "KENJI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-379-6548",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "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 Feb 6, 2025; 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.