Organization Active NPI

Elicere Health Partners LLC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1487565610
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ELICERE HEALTH PARTNERS LLC
Practice address
10845 Griffith Peak Dr Ste 200
Las Vegas, NV 89135-1568
Phone
(702) 577-0143
NPI assigned
Sep 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Ho Sung Pak, DO
Title
President
Phone
(702) 577-0143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10845 Griffith Peak Dr Ste 200
Las Vegas, NV 89135-1568

Mailing address

10845 Griffith Peak Dr Ste 200
Las Vegas, NV 89135-1568
Phone (702) 577-0143

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1487565610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10845 GRIFFITH PEAK DR STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351568",
            "telephone_number": "702-577-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10845 GRIFFITH PEAK DR STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351568",
            "telephone_number": "702-577-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELICERE HEALTH PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "HO",
        "authorized_official_middle_name": "SUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-577-0143",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "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 Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.