Guardian Convenient Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GUARDIAN CONVENIENT CLINIC

Practice address

11850 Tevare LN
Las Vegas, NV 89138-6501

Phone

(702) 478-0404

NPI assigned

Sep 28, 2017

Last updated

Sep 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chika Okechukwu, NPNPI 1306290150

Title

President

Phone

(702) 478-0404

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Chika Okechukwu, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1306290150
  Authorized official Same address or phone

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1518476068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 W CHARLESTON BLVD STE 13-416",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351037",
            "telephone_number": "702-478-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11850 TEVARE LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386501",
            "telephone_number": "702-478-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN CONVENIENT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A",
        "authorized_official_last_name": "OKECHUKWU",
        "authorized_official_first_name": "CHIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-478-0404",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Alex Guardado
• Guardian Angel Home Care of Las Vegas LLC
• Guardian Angel Home Care, Inc.
• Guardian Angel Hospice Care
• Guardian Angels LLC
• Guardian DME LLC (Guardian DME)
• Guardian Elite Medical Services, LLC.
• Guardian Flight LLC
• Guardian Home LLC (Angel Care Residential Home)
• Christine Guardian, LMSW,CSW-I

• Primary Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.