Active NPI
Lorenzo Omandac, APRN
- Family Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN002579
- Practice address
- 8402 Centennial Pkwy Ste 100
Las Vegas, NV 89149-4793 - Phone
- (702) 869-3486
- Fax
- (702) 869-3542
- NPI assigned
- Jul 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Management Registered Nurse | 163WP0000X | RN66219 | NV | |
| Family Nurse Practitioner | 363LF0000X | APRN002579 | NV | Primary |
Addresses
Primary practice location
8402 Centennial Pkwy Ste 100
Las Vegas, NV 89149-4793
Mailing address
2800 E Desert Inn Rd Ste 100
Las Vegas, NV 89121-3609
Phone (702) 731-1616
Other practice location 1
2930 W Horizon Ridge Pkwy
Henderson, NV 89052-5058
Phone (702) 263-9082
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN002579 | Other | NV | NV LICENSE |
| RN66219 | Other | NV | NV LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 E Desert Inn Rd
Suite 100
Las Vegas, NV 89121-3609
Phone (702) 731-1616
6900 N Durango Dr
Las Vegas, NV 89149-4409
Phone (702) 408-1096
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN66219 | NV | MD | Pain Management Registered Nurse |
| APRN002579 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Orthopaedic Center, LTD. | Family | Current | Accepting new patients |
| Southwest Rehabilitation Physicians & Farhang Associates PLLC | Current | Accepting new patients | |
| Desert Orthopaedic Billing LLC | Past | Accepting new patients | |
| Trurelief Pain Care, PLLC | Past | Accepting new patients |
Locations
601 Adams Blvd
Boulder City, NV 89005
Phone (702) 293-5151
1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124
1500 W Warm Springs Rd
Henderson, NV 89014
Phone (702) 480-1544
1180 E Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 565-8555
2930 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 263-9082
8402 Centennial Pkwy
Las Vegas, NV 89149
Phone (702) 869-3486
660 S Martin L King Blvd
Las Vegas, NV 89106
Phone (702) 241-2717
3450 N Buffalo Dr
Las Vegas, NV 89129
Phone (702) 899-0100
8402 Centennial Pkwy
Ste 100
Las Vegas, NV 89149
Phone (702) 869-3486
8689 W Charleston Blvd
Ste 105
Las Vegas, NV 89117
Phone (702) 304-5900
4015 McLeod Dr
Las Vegas, NV 89121
Phone (702) 433-2200
6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964
2250 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 474-0200
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253
8205 W Warm Springs Rd
Ste 250
Las Vegas, NV 89113
Phone (702) 227-2152
8550 S Eastern Ave
Las Vegas, NV 89123
Phone (702) 382-3155
2800 E Desert Inn Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 294-7499
5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342
5110 W Sahara Ave
Las Vegas, NV 89146
Phone (702) 352-9260
640 S Martin L King Blvd
Las Vegas, NV 89106
Phone (702) 382-3155
3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100
Interoperability endpoints
- omalt@doclv.emadirect.md
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine Physician
- Las Vegas, NV
- NPI 1467765024
-
- Nurse Practitioner
- Las Vegas, NV
- NPI 1639975089
-
- Orthopaedic Surgery Physician
- Las Vegas, NV
- NPI 1972825602
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba ER at Valley Vista
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1295319085
Hospital
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
-
dba ER at West Craig Road
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1942991245
Hospital
-
dba Southern Hills Hospital & Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1457306359
-
dba Mountainview Hospital
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1104870187
-
dba ER at North Las Vegas
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1396436630
Hospital
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1417947490
-
dba ER @ Desert Springs an ext of Valley Hospital
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1598479602
Hospital
-
dba Elite Medical Center an extension of Valley Hospital
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1770150914
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1487178927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 E DESERT INN RD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213609",
"telephone_number": "702-731-1616",
"fax_number": "702-734-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8402 CENTENNIAL PKWY STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494793",
"telephone_number": "702-869-3486",
"fax_number": "702-869-3542"
}
],
"practiceLocations": [
{
"address_1": "2930 W Horizon Ridge Pkwy",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890525058",
"country_code": "US",
"telephone_number": "702-263-9082",
"fax_number": "702-263-9088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OMANDAC",
"first_name": "LORENZO",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-26",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "NV",
"license": "RN66219",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN002579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NV LICENSE",
"identifier": "APRN002579",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NV LICENSE",
"identifier": "RN66219",
"state": "NV"
}
],
"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 Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.