Premier Medical Group LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PREMIER MEDICAL GROUP LLC

Practice address

1050 S Rainbow Blvd Ste 210
Las Vegas, NV 89145-6231

Phone

(702) 623-8810

Fax

(702) 926-8822

NPI assigned

Dec 23, 2019

Organization subpart

No

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

Authorized official

Name

Vanessa Torres

Title

Administrator

Phone

(702) 963-6363

Specialties & licenses 12

Addresses

Other identifiers 1

Other names 1

• Premier Urgent Care Doing business as

Locations

Practitioners 5

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

• Cynthia Esguerra Teh, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1487655304
  NPD
• Sudhir S Khemka, MD

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1326115429
  NPD
• Andrea Nina Desembrana Mapa, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1386310514
  NPD
• Thomas A Shang, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1760501795
  NPD
• Michelle Heesung Kim

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1104467620
  NPD

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1447899448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 MONTESSOURI ST STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173058",
            "telephone_number": "702-963-6363",
            "fax_number": "702-537-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 S RAINBOW BLVD STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456231",
            "telephone_number": "702-623-8810",
            "fax_number": "702-926-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4550 E Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891045525",
            "country_code": "US",
            "telephone_number": "702-623-8810",
            "fax_number": "702-926-8822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-963-6363"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250007335",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Home Care Services
• Premier Home Care Services
• Premier Home Health Inc
• Premier Horizon LLC
• Premier House Calls, LLC
• Premier Mobility LLC
• Premier Physical Therapy and Pulmonary Rehab LLC
• Premier RX Pharmacy LLC
• Premier Sleep Las Vegas, LLC
• Premier Treatment Centers of NV

• Urgent Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Urgent Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.