Organization Active NPI

Rainbow Medical Group LLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1437779204
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RAINBOW MEDICAL GROUP LLC
Doing business as
RAINBOW MEDICAL GROUP LLC
Practice address
1601 S Rainbow Blvd Ste 130
Las Vegas, NV 89146-0893
Phone
(702) 496-2070
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Authorized official

Name
Ms. Flora Capule Simbulan
Title
Managing Owner/Member
Phone
(702) 496-2070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1601 S Rainbow Blvd Ste 130
Las Vegas, NV 89146-0893

Mailing address

1601 S Rainbow Blvd Ste 130
Las Vegas, NV 89146-0893
Phone (702) 496-2070

Other names 1

  • RAINBOW MEDICAL GROUP LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1601 S Rainbow Blvd
Ste 130
Las Vegas, NV 89146
Phone (702) 405-8895

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1437779204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S RAINBOW BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460893",
            "telephone_number": "702-496-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S RAINBOW BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460893",
            "telephone_number": "702-496-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "SIMBULAN",
        "authorized_official_first_name": "FLORA",
        "authorized_official_middle_name": "CAPULE",
        "authorized_official_title_or_position": "MANAGING OWNER/MEMBER",
        "authorized_official_telephone_number": "702-496-2070",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAINBOW MEDICAL GROUP LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 24, 2020; 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.