Individual provider Active NPI

Lorenzo Omandac, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1487178927
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002579 Issued in NV
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

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
APRN002579OtherNVNV LICENSE
RN66219OtherNVNV 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171114003131 NV Practitioner - Nurse Practitioner 0244596898 Reassigns benefits to 2 organizations

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
Desert Orthopaedic Center LTDGroup PAC ID 6406759661, 103 clinicians
Farzin Farhang MD PLLCGroup PAC ID 3476742271, 12 clinicians

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

LicenseStateTypeSpecialty
RN66219NVMDPain Management Registered Nurse
APRN002579NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Orthopaedic Center, LTD. Family CurrentSince Jun 16, 2020 Accepting new patients
Southwest Rehabilitation Physicians & Farhang Associates PLLC CurrentSince Jul 21, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.