NPIMap

Organization Active NPI

Vegas Valley Medical LLC

  • Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1336864255
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VEGAS VALLEY MEDICAL LLC
Practice address
3920 E Patrick LN Ste 8
Las Vegas, NV 89120-3927
Phone
(310) 686-7910
NPI assigned
Oct 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Latasha Davis
Title
Owner
Phone
(310) 686-7910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3920 E Patrick LN Ste 8
Las Vegas, NV 89120-3927

Mailing address

3920 E Patrick LN Ste 8
Las Vegas, NV 89120-3927

National Provider Directory

National Provider Directory

Locations

3920 E Patrick Ln
Ste 8
Las Vegas, NV 89120
Phone (310) 686-7910

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1336864255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 E PATRICK LN STE 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 E PATRICK LN STE 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203927",
            "telephone_number": "310-686-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS VALLEY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-686-7910"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Dec 6, 2022; 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.