Zane Medical Group LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ZANE MEDICAL GROUP LLC

Practice address

3455 W Craig Rd Ste C
North Las Vegas, NV 89032-5119

Phone

(702) 773-8673

NPI assigned

Dec 4, 2018

Organization subpart

No

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

Authorized official

Name

Sussan FungNPI 1639649536

Title

Owner

Phone

(702) 773-8673

Specialties & licenses 5

Addresses

Practitioners 1

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

• Sussan Fung

  • Counselor
  • North Las Vegas, NV
  • NPI 1639649536

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1235609140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 W CRAIG RD STE C",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 W CRAIG RD STE C",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325119",
            "telephone_number": "702-773-8673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6039 Hidden Summit St",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890316841",
            "country_code": "US",
            "telephone_number": "702-773-8673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZANE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "FUNG",
        "authorized_official_first_name": "SUSSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-773-8673"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zamiaya Home Health Care
• Monica Zamora
• Rosa Zamora
• Socorro Zamora
• Samantha Zanca, RD, CSO, LD
• Zane Medical Group LLC
• By-Landa Zaragoza
• Darla Zarndt, D.O.
• Walfredo Zarraga, MD
• Dolores Maria Zavala

• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.