Fub LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

FUB LLC

Practice address

10040 W Cheyenne Ave
Las Vegas, NV 89129-7719

Phone

(702) 344-4996

Fax

(702) 240-6544

NPI assigned

Sep 8, 2025

Organization subpart

No

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

Authorized official

Name

Sean Su, MDNPI 1760597405

Title

MD

Phone

(702) 338-9500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

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

• Sean Su, MD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1760597405
  Medicare reassignment NPD (past) Authorized official

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1407737539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297719",
            "telephone_number": "702-344-4996",
            "fax_number": "702-250-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297719",
            "telephone_number": "702-344-4996",
            "fax_number": "702-240-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "702-338-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pei-CHI Fu, M.D.
• Suzan Fu, DDS
• Victoria Fu, DPT
• Yan Fu
• Draven Fualaau
• Lily Bailey Fuchs
• Nicole T Fuchs
• Leona Fudge
• Fuente de Vida Mental Health Services
• Charaine Fuentebella

• Adult Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.