Pace Healthcare LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PACE HEALTHCARE LLC

Practice address

9360 Netherfield Ave
Las Vegas, NV 89178-5535

Phone

(951) 514-5886

Fax

(702) 638-7706

NPI assigned

Mar 27, 2015

Last updated

Apr 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay Bowman

Title

Excecutive Director

Phone

(951) 514-5886

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1306230206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 NETHERFIELD AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891785535",
            "telephone_number": "951-514-5886",
            "fax_number": "702-638-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9360 NETHERFIELD AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891785535",
            "telephone_number": "951-514-5886",
            "fax_number": "702-638-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "EXCECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-514-5886"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NV",
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paulo Pabustan
• Marie Eugenie Manalastas Pabustan, PT
• Pac LP
• Jerome Christian Pacaldo
• Mandy Lyn Marie Pacas-Interiano
• Pace Physical Therapy & Spine Fitness (Laurie E Nemes)
• Brennan Pace, DO
• Christopher Jacob Pace, DO
• Latosha Pace
• Mari Dean Balili Pace, OTR/L

• General Practice Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.