Elite Care Clinic

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ELITE CARE CLINIC

Practice address

9471 Violet Sunset Ave
Las Vegas, NV 89148-4246

Phone

(702) 813-7637

NPI assigned

Oct 25, 2024

Organization subpart

No

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

Authorized official

Name

Mailin Leon Lopez

Title

Owner

Phone

(702) 813-7637

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1407678030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9471 VIOLET SUNSET AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9471 VIOLET SUNSET AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484246",
            "telephone_number": "702-813-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "LEON LOPEZ",
        "authorized_official_first_name": "MAILIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-813-7637"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Elisalde
• Brooklynne K Elisaldez
• Elit Group LLC
• Elite 7 Sports Medicine, Inc. (E7 Sports Medicine, Inc.)
• Elite Advanced Practice LLC
• Elite Care Home Health LLC
• Elite Care LLC (Nurse Next Door Home Care Services)
• Elite Care Mobile Medical Group (Family Healthcare Services)
• Elite Care Providers LLC
• Elite Counseling Center LLC

• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.