Individual provider Active NPI

Jhaunden Concepcion, DO

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1225667520
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO3389 Issued in NV
Practice address
3097 E Warm Springs Rd Ste 400
Las Vegas, NV 89120-3757
Phone
(702) 790-2211
Fax
(702) 790-2316
NPI assigned
Apr 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO3389 NV Primary

Addresses

Primary practice location

3097 E Warm Springs Rd Ste 400
Las Vegas, NV 89120-3757

Mailing address

3097 E Warm Springs Rd Ste 400
Las Vegas, NV 89120-3757
Phone (702) 790-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231024002400 NV Practitioner - Family Practice 0547684458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sagebrush Medical Center LLCGroup PAC ID 6901187020, 8 clinicians

Practice addresses (Care Compare)

2645 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89052-2899
Phone (702) 790-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO3389NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sagebrush Medical Center, LLC CurrentSince Sep 15, 2023 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Desert Springs Hospital Past Accepting new patients

Locations

2645 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 614-1800

8660 Spring Mountain Rd
Ste 103
Las Vegas, NV 89117
Phone (702) 790-2211

3097 E Warm Springs Rd
Ste 400
Las Vegas, NV 89120
Phone (702) 790-2211

Interoperability endpoints

  • Direct secure messaging: jhaunden.concepcion.p1@direct.nevadahealthcenters.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1225667520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3097 E WARM SPRINGS RD STE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203757",
            "telephone_number": "702-790-2211",
            "fax_number": "702-790-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3097 E WARM SPRINGS RD STE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203757",
            "telephone_number": "702-790-2211",
            "fax_number": "702-790-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "JHAUNDEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO3389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.