NPIMap

Organization Active NPI

Cano Health Nevada PLLC

  • General Practice Physician
  • Las Vegas, NV
National Provider Identifier
1477219764
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CANO HEALTH NEVADA PLLC
Practice address
4469 Charleston Ave
Las Vegas, NV 89102
Phone
(855) 226-6633
NPI assigned
Nov 11, 2021
Last updated
Nov 11, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CANO HEALTH NEVADA PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Dr. Marlow Blas Hernandez, DONPI 1568755221
Title
Ceo
Phone
(954) 514-9360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

4469 Charleston Ave
Las Vegas, NV 89102

Mailing address

9725 NW 117TH Ave Ste 200
Medley, FL 33178-1260
Phone (855) 226-6633

National Provider Directory

National Provider Directory
Tax ID family
Cano Health Nevada PLLC8 organizations share this tax ID, including this one
Part of
Cano Health Nevada PLLC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1477219764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 NW 117TH AVE STE 200",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781260",
            "telephone_number": "855-226-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4469 CHARLESTON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "855-226-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANO HEALTH NEVADA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANO HEALTH NEVADA PLLC",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARLOW",
        "authorized_official_middle_name": "BLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-514-9360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 11, 2021; 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.