Zion Medical Group LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

NV20171090051 Issued in NV

Legal business name

ZION MEDICAL GROUP LLC

Practice address

7465 W Lake Mead Blvd
Ste 100
Las Vegas, NV 89128-1032

Phone

(702) 560-4900

NPI assigned

Feb 20, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Charles Simbulan

Title

President

Phone

(818) 224-9390

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 6

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.

• Sneha Vinod Philip Thomas, APRN

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1235657149
  Medicare reassignment Care Compare group NPD
• Chukwuemeka O Iroha, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1619942554
  Medicare reassignment Care Compare group
• Nemia Trabadillo Chiang, APRN

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1851872055
  Medicare reassignment NPD
• Alan B Jauregui, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1972792075

  Primary Care

  Medicare reassignment NPD
• Brian Keith Johnson, APRN FNP-C

  • Nurse Practitioner
  • North Las Vegas, NV
  • NPI 1487114583
  Medicare reassignment NPD
• Genevie Kneir

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Rosa, CA
  • NPI 1760922017

  NV

  Medicare reassignment NPD

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1467991745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7465 W LAKE MEAD BLVD",
            "address_2": "STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281032",
            "telephone_number": "702-560-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7465 W LAKE MEAD BLVD",
            "address_2": "STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281032",
            "telephone_number": "702-560-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZION MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "SIMBULAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-224-9390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "NV20171090051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zinnia Hospice LLC
• Norm R Ziola Jr.
• Zion Healing of Nevada LLC (Zion Healing Center)
• Zion Management Holdings, LLC (Apex Hospice Care)
• Zion Management Holdings, LLC (Apex Home Health)
• Zion Pass LLC (Zion)
• Zion Physical Therapy & Sports Medicine
• Kimberly Zion
• Lorescia Zion
• Zions Behavioral & Mentoring Services

• Primary Care Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Care Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.