NPIMap

Organization Active NPI

Apex Medical Center

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1487716304
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8421 Issued in 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
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Jasmine Corral
Title
Office Manager
Phone
(702) 310-9110

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 8421 NV Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318000749 NV Part B Supplier - Clinic/Group Practice 9335039783 Receives reassigned benefits from 18 practitioners
Practice locations: Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D1012029Apex Medical Center1701 Wellness Way Ste 200, Las Vegas, NV 89106AccreditationDec 18, 2026

National Provider Directory

National Provider Directory

Locations

3050 E Bonanza Rd
Las Vegas, NV 89101

3050 E Bonanza Rd
Ste 100A
Las Vegas, NV 89101

3050 E Bonanza Rd
Ste 110A
Las Vegas, NV 89101

1815 E Lake Mead Blvd
#201
North Las Vegas, NV 89030
Phone (702) 310-9110

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1487716304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WELLNESS WAY STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064146",
            "telephone_number": "702-310-9110",
            "fax_number": "702-310-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 WELLNESS WAY STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064146",
            "telephone_number": "702-310-9110",
            "fax_number": "702-310-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "CORRAL",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-310-9110"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8421",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.