Las Vegas Family Medicine Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAS VEGAS FAMILY MEDICINE INC.

Practice address

7660 W. Cheyenne Ave Suite 110
Las Vegas, NV 89129

Phone

(702) 722-2665

Fax

(702) 722-2605

NPI assigned

Jan 2, 2019

Organization subpart

No

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

Authorized official

Name

Rulon Douglas Owen, D.O.NPI 1407067119

Title

Medical Director

Phone

(702) 722-2665

Specialties & licenses 1

Addresses

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

Practitioners 1

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

• Rulon Douglas Owen, DO

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1407067119
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1568935534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 W. CHEYENNE AVE SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89129",
            "telephone_number": "702-722-2665",
            "fax_number": "702-722-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7660 W. CHEYENNE AVE SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89129",
            "telephone_number": "702-722-2665",
            "fax_number": "702-722-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS FAMILY MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "RULON",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-722-2665",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Las Vegas Family Home Care LLC (HCBS Waiver for Persons With Frail Elderly)
• Las Vegas Family Home Care LLC (HCBS Waiver for Persons With Physical Disabilities)
• Las Vegas Family Home Care LLC
• Las Vegas Family Home Care LLC (Las Vegas Family Home Care)
• Las Vegas Family Home Health LLC
• Las Vegas Family Therapy LLC (Las Vegas Family Therapy Center LLC)
• Las Vegas Family Therapy LLC (Las Vegas Counseling Center)
• Las Vegas Family Wellness LLC
• Las Vegas Functional Health and Wellness
• Las Vegas Gastroenterology Associate LLC

• 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 2, 2019; 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.