Organization Active NPI

Cornerstone Medical Center

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1407652134
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CORNERSTONE MEDICAL CENTER
Practice address
546 N Eastern Ave Ste 120
Las Vegas, NV 89101-3483
Phone
(702) 480-6024
NPI assigned
Feb 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Rocio Favela
Title
Director
Phone
(702) 480-6024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

546 N Eastern Ave Ste 120
Las Vegas, NV 89101-3483

Mailing address

546 N Eastern Ave Ste 120
Las Vegas, NV 89101-3483
Phone (702) 480-6024

National Provider Directory

National Provider Directory

Locations

546 N Eastern Ave
Ste 120
Las Vegas, NV 89101
Phone (702) 480-6024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1407652134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 N EASTERN AVE STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013483",
            "telephone_number": "702-480-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 N EASTERN AVE STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013483",
            "telephone_number": "702-480-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-23",
        "status": "A",
        "authorized_official_last_name": "FAVELA",
        "authorized_official_first_name": "ROCIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-480-6024"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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 Feb 24, 2025; 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.