Family Tree Medical Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9897 Issued in NV

Legal business name

FAMILY TREE MEDICAL CENTER LLC

Practice address

3510 E Tropicana Ave
Ste # K
Las Vegas, NV 89121-7341

Phone

(702) 947-1000

Fax

(702) 947-1001

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Tony Gumina, MD

Title

Owner

Phone

(702) 947-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antonio Gumina, M.D.

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1245292440
  Medicare reassignment NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1508870445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231930",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891051930",
            "telephone_number": "702-947-1000",
            "fax_number": "702-947-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 E TROPICANA AVE",
            "address_2": "STE # K",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217341",
            "telephone_number": "702-947-1000",
            "fax_number": "702-947-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "GUMINA",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-947-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018528",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Support Services of Nevada LLC
• Family Tree Health Care Systems
• Family Tree Health Care Systems Inc
• Family Tree Health Care Systems Inc
• Family Tree Health Care Systems Inc
• Family'S Own Health & Human Services
• Family1St Integrated Therapy & Wellness, LLC
• Payton King Famuliner
• Dante Fabian Famy, APN
• Aleah Fan

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.