Active NPI
Total Care Medical Group LLC
- General Practice Physician
- Las Vegas, NV
National Provider Identifier
1306462742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Malieka D Toston, LADC
- Michael Toston
- Ammel Jane Totah
- Total Care Medical Consultant Inc (nevada integrated health center)
- Total Care Medical Consultant Inc (Nevada integrated Health Center)
- Total Family Care Specialists
- Total Health & Wellness Medical Center LLC
- Total Medical Equipment LLC
- Total Needs Transportation LLC
- Total Orthopedics LLC (Ageless Men's Health)
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.