Medical Center Vegas LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MEDICAL CENTER VEGAS LLC

Practice address

612 S Jones Blvd Ste 106
Las Vegas, NV 89107-3613

Phone

(702) 806-8755

NPI assigned

Jan 16, 2026

Last updated

Jan 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisset Fernandez AstorgaNPI 1740891241

Title

Manager

Phone

(702) 665-2327

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisset Fernandez Astorga

  • Personal Care Attendant
  • Las Vegas, NV
  • NPI 1740891241
  NPD Authorized official
• Ariuska Milan Martinez, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1336659903
  Medicare reassignment
• Miguel Angel Vargas-Lagunas, M.D.

  • Internal Medicine Physician
  • North Las Vegas, NV
  • NPI 1356551873
  Medicare reassignment

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1407715329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S JONES BLVD STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S JONES BLVD STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073613",
            "telephone_number": "702-806-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER VEGAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ ASTORGA",
        "authorized_official_first_name": "LISSET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-665-2327"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.