Organization Active NPI

Guardian Elite Medical Services, LLC.

  • Ambulance
  • Las Vegas, NV
National Provider Identifier
1235686593
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
A13467 Issued in NV
Legal business name
GUARDIAN ELITE MEDICAL SERVICES, LLC.
Practice address
3570 E Flamingo Rd
Las Vegas, NV 89121-5000
Phone
(702) 262-2262
Fax
(702) 207-0599
NPI assigned
Sep 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Mr. Samuel Scheller, MBA, NRP
Title
Ceo
Phone
(702) 262-2262

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X A13467 NV Primary
Land Ambulance 3416L0300X A13467 NV

Addresses

Primary practice location

3570 E Flamingo Rd
Las Vegas, NV 89121-5000

Mailing address

2830 Ferne Dr
Building E
Las Vegas, NV 89104-4551
Phone (702) 262-2262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180327003035 NV Part B Supplier - Ambulance Service Supplier 5395007538 Practice locations: Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2208493Guardian Elite Medical Services LLC3570 E Flamingo Rd, Las Vegas, NV 89121Certificate of waiverJan 5, 2027

National Provider Directory

National Provider Directory

Locations

2830 Ferne Dr
Bldg E
Las Vegas, NV 89104
Phone (833) 446-7101

NPI Registry JSON

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

{
    "created_epoch": "1472947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1235686593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 FERNE DR",
            "address_2": "BUILDING E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891044551",
            "telephone_number": "702-262-2262",
            "fax_number": "702-207-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 E FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215000",
            "telephone_number": "702-262-2262",
            "fax_number": "702-207-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ELITE MEDICAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-04",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "SCHELLER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-262-2262",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, NRP"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NV",
            "license": "A13467",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NV",
            "license": "A13467",
            "primary": false
        }
    ],
    "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 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.