NPIMap

Organization Active NPI

Southern Nevada Health District

  • Community Health Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1275550212
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
SOUTHERN NEVADA HEALTH DISTRICT
Practice address
280 S Decatur Blvd
Las Vegas, NV 89107-2936
Phone
(702) 759-1000
NPI assigned
Jul 16, 2006
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Cassius Lockett
Title
District Health Officer
Phone
(702) 759-1691

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Clinic/Center 261Q00000X
Community Health Clinic/Center 261QC1500X Primary
Non-Surgical Family Planning Clinic/Center 261QF0050X

Addresses

Primary practice location

280 S Decatur Blvd
Las Vegas, NV 89107-2936

Mailing address

PO Box 3902
Las Vegas, NV 89127-3902
Phone (702) 759-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061207000459 NV Part B Supplier - Mass Immunization (Roster Biller Only) 3375542939 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20190916003250 NV Part B Supplier - Clinic/Group Practice 3375542939 Receives reassigned benefits from 4 practitioners
Practice locations: Mesquite, NV; Las Vegas, NV

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

874 American Pacific Dr
Henderson, NV 89014
Phone (702) 777-4808

280 S Decatur Blvd
Las Vegas, NV 89107
Phone (702) 759-1000

2950 E Bonanza Rd
Las Vegas, NV 89101

4201 W Washington Ave
Las Vegas, NV 89107
Phone (702) 759-1000

560 N Nellis Blvd
Ste E12
Las Vegas, NV 89110
Phone (702) 759-1305

570 N Nellis Blvd
Ste D1E12
Las Vegas, NV 89110

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southern Neveda Community Health CenterLas Vegas, NV, CCN 291867 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Dec 3, 1978

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1275550212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3902",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891273902",
            "telephone_number": "702-759-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072936",
            "telephone_number": "702-759-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEVADA HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "LOCKETT",
        "authorized_official_first_name": "CASSIUS",
        "authorized_official_title_or_position": "DISTRICT HEALTH OFFICER",
        "authorized_official_telephone_number": "702-759-1691"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.