Centerwell Senior Primary Care NV CS PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CENTERWELL SENIOR PRIMARY CARE NV CS PC

Doing business as

CenterWell Senior Primary Care- Anthem Village

Practice address

2500 Anthem Village Dr Ste 100
Henderson, NV 89052-5562

Phone

(702) 843-1437

Fax

(702) 832-5775

NPI assigned

Jun 2, 2026

Last updated

Jun 2, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTERWELL SENIOR PRIMARY CARE NV CS PCAs reported in NPPES

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

Authorized official

Name

Angie Martinez

Title

Senior Credentialing Professional

Phone

(407) 447-7120

Specialties & licenses 3

Addresses

Other names 1

• CenterWell Senior Primary Care- Anthem Village Doing business as

Tax ID family

Centerwell Senior Primary Care NV CS PC2 organizations share this tax ID, including this one

Part of

Centerwell Senior Primary Care NV CS PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Centerwell Senior Primary Care NV CS PC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1801682257
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Centerwell Senior Primary Care NV CS PC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1801682257
  NPPES parent name

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1255263356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ANTHEM VILLAGE DR STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525562",
            "telephone_number": "702-843-1437",
            "fax_number": "702-832-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ANTHEM VILLAGE DR STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525562",
            "telephone_number": "702-843-1437",
            "fax_number": "702-832-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERWELL SENIOR PRIMARY CARE NV CS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTERWELL SENIOR PRIMARY CARE NV CS PC",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING PROFESSIONAL",
        "authorized_official_telephone_number": "407-447-7120"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterWell Senior Primary Care- Anthem Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.