Active NPI
Family Clinic of Nevada LLC
- Family Medicine Physician
- Henderson, NV
National Provider Identifier
1376301192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY CLINIC OF NEVADA LLC
- Practice address
- 1590 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89012-3508 - Phone
- (760) 900-2169
- NPI assigned
- Mar 7, 2024
- 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
- Stephen Neff
- Title
- Managing Director
- Phone
- (760) 900-2169
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
1590 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89012-3508
Mailing address
2688 Ornate Regiment St
Henderson, NV 89044-1625
Phone (760) 900-2169
National Provider Directory
National Provider DirectoryLocations
1590 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89012
Phone (702) 964-9500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722297600000",
"number": "1376301192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2688 ORNATE REGIMENT ST",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890441625",
"telephone_number": "760-900-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 W HORIZON RIDGE PKWY STE 110",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890123508",
"telephone_number": "760-900-2169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CLINIC OF NEVADA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-07",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A",
"authorized_official_last_name": "NEFF",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "760-900-2169"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.