Organization Active NPI

Total Care Medical Group LLC

  • General Practice Physician
  • Las Vegas, NV
National Provider Identifier
1306462742
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TOTAL CARE MEDICAL GROUP LLC
Practice address
6040 S Durango Dr Ste 115
Las Vegas, NV 89113-1792
Phone
(310) 408-8714
NPI assigned
Jun 22, 2020
Last updated
Jun 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Authorized official

Name
John Doble
Title
Administrator
Phone
(310) 408-8714

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary
Nurse Practitioner 363L00000X

Addresses

Primary practice location

6040 S Durango Dr Ste 115
Las Vegas, NV 89113-1792

Mailing address

3358 Hillside Garden Dr
Las Vegas, NV 89135-2829
Phone (310) 408-8714

National Provider Directory

National Provider Directory

Locations

6040 S Durango Dr
Ste 115
Las Vegas, NV 89113
Phone (310) 408-8714

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1306462742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3358 HILLSIDE GARDEN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352829",
            "telephone_number": "310-408-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 S DURANGO DR STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131792",
            "telephone_number": "310-408-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "DOBLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-408-8714"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "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 Jun 22, 2020; 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.