Family Medical of Nevada, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

503621950 Issued in NV

Legal business name

FAMILY MEDICAL OF NEVADA, INC.

Practice address

4230 N Pecos Rd
Las Vegas, NV 89115-0196

Phone

(702) 643-6639

Fax

(702) 643-0208

NPI assigned

Aug 30, 2005

Last updated

Aug 7, 2009By 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

Mr. Yoel Garcia Gonzalez

Title

President

Phone

(702) 643-6639

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1417940933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 N PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891150196",
            "telephone_number": "702-643-6639",
            "fax_number": "702-643-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 N PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891150196",
            "telephone_number": "702-643-6639",
            "fax_number": "702-643-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL OF NEVADA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "GARCIA GONZALEZ",
        "authorized_official_first_name": "YOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-643-6639",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "503621950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505843",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Health Primary Care LLC
• Family Health Wellness Center LLC
• Family Home Healthcare, Inc
• Family Home Hospice, Inc.
• Family Institute of Nevada
• Family Nurse Practitioner LLC.
• Family of 4 Physical Therapy
• Family Personal Care, LLC
• Family Personal Care, LLC
• Family S Choice Medical MD Mobile Inc

• Durable Medical Equipment & Medical Supplies in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.