Ermocilla PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ERMOCILLA PC

Doing business as

Renaissance Medical Group

Practice address

2870 S Maryland Pkwy
Las Vegas, NV 89109-5031

Phone

(718) 344-3446

NPI assigned

Jan 27, 2025

Last updated

Jan 27, 2025By 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

Dr. Beatriz Ang-Ermocilla, MDNPI 1962412106

Title

Owner

Phone

(718) 344-6298

Specialties & licenses 2

Addresses

Other names 1

• Renaissance Medical Group Doing business as

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 2

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.

• Beatriz Ang-Ermocilla, MD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1962412106
  Medicare reassignment Care Compare group NPD Authorized official
• Carlos Ermocilla, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1497799407
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1528871357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7508 VIA SIGNORELLI ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891310125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891095031",
            "telephone_number": "718-344-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERMOCILLA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "ANG-ERMOCILLA",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-344-6298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Lourdes Gerard Erlichman, MD
• Marcus Anthony Erling, MD
• Natalia Ermakova, APRN
• Agnes Ermi
• Lauren Elizabeth Ermi
• Carlos Ermocilla, M.D.
• Ernest M Sussman MD
• Lakeitha Ernest
• Melissa Katheryn Ernest
• Ernesto a McCombs Chartered

• 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 Jan 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.