Apex Medical Center
Organization Active NPI Internal Medicine Physician · Las Vegas, NV
NPI 1487716304 · NPPES record last updated Aug 27, 2025
Key facts
- NPI
- 1487716304
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 8421 (NV)
- Legal business name
- APEX MEDICAL CENTER
- Practice address
- 1701 Wellness Way Ste 200
Las Vegas, NV 89106-4146 - Phone
- (702) 310-9110
- Fax
- (702) 310-9114
- NPI assigned
- Dec 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Jasmine Corral
- Title
- Office Manager
- Phone
- (702) 310-9110
Practitioners 18
-
Marilyn Tuiasosopo, FNP-C, FNP-BC
-
Adaobi Ezeanolue, APRN
-
Ravi Kumar, FNP
-
Edward Lee, PA-C
-
Rachel Ann Lunini, PA-C
-
Adrian Joligon Martin, PA-C
-
Kimchi Nguyen, PA-C
-
Andrea Elena Castillo, FNP-BC
-
Sung J Cho, PSY.D.
-
Rebecca Regina D'Silva, PA-C
-
Michelle Christine Edwards, MS, CRNA
-
Melissa F Kalodner, PSY. D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D1012029 | Apex Medical Center | Accreditation | Dec 18, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040318000749 | NV | Part B Supplier - Clinic/Group Practice | 9335039783 |
Receives reassigned benefits from 18 practitioners Practice locations: Las Vegas, NV |
National Provider Directory
Locations
5876 S Pecos Rd
Las Vegas, NV 89120
Phone (702) 358-7029
1701 Wellness Way
Ste 200
Las Vegas, NV 89106
Phone (702) 310-9110
1701 Wellness Way
Ste 202
Las Vegas, NV 89106
Phone (702) 310-9110
3050 E Bonanza Rd
Ste 110A
Las Vegas, NV 89101
3050 E Bonanza Rd
Ste 100A
Las Vegas, NV 89101
3050 E Bonanza Rd
Las Vegas, NV 89101
1815 E Lake Mead Blvd
#201
North Las Vegas, NV 89030
Phone (702) 310-9110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 8421 | NV | Yes |
| Psychiatry Physician |
2084P0800X | |||
| Pain Medicine Physician |
208VP0000X |
Addresses
Primary practice location
1701 Wellness Way Ste 200
Las Vegas, NV 89106-4146
Mailing address
1701 Wellness Way Ste 200
Las Vegas, NV 89106-4146
Phone (702) 310-9110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100507040 | Medicaid | NV |
Other providers in Las Vegas, NV
- Matthew Elliot Apel
- Apex Cardiology Associates, PLLC
- Apex Diagnostic Services, Inc.
- Apex Endodontics of Las Vegas
- Apex Home Health Care Inc
- Apex Medical Center
- Apex Mobile Imaging, LLC
- Apex Pain Specialist Las Vegas Inc
- Raisa Caridad Apezteguia
- Patricia Apicella de la Torre
All providers in Las Vegas, NV · Internal Medicine Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.