CJ Medical Center LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CJ MEDICAL CENTER LLC

Practice address

835 South Boulder Highway #335
Henderson, NV 89015-1739

Phone

(702) 551-4608

NPI assigned

Feb 23, 2023

Organization subpart

No

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

Authorized official

Name

Carlos Enrique Jimenez Pozo, APRN-CNP

Title

Ceo

Phone

(725) 247-4519

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1366141848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SOUTH BOULDER HIGHWAY #335",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890151739",
            "telephone_number": "702-551-4608",
            "fax_number": "725-215-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SOUTH BOULDER HIGHWAY #335",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890151739",
            "telephone_number": "702-551-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ POZO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "725-247-4519",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215579602",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Henderson, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.