Organization Active NPI

Angeles Medical Centers LLC

  • Family Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1609389394
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002705 Issued in NV
Legal business name
ANGELES MEDICAL CENTERS LLC
Practice address
2123 Civic Center Drive
North Las Vegas, NV 89030
Phone
(702) 333-0110
Fax
(702) 333-0442
NPI assigned
Nov 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Alejandra Ceja
Title
Administrator
Phone
(702) 333-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X APRN002705 NV Primary

Addresses

Primary practice location

2123 Civic Center Drive
North Las Vegas, NV 89030

Mailing address

2123 Civic Center Dr
N Las Vegas, NV 89030-6327
Phone (702) 333-0110

National Provider Directory

National Provider Directory
Tax ID family
Angeles Medical Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1609389394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 CIVIC CENTER DR",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890306327",
            "telephone_number": "702-333-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 CIVIC CENTER DRIVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89030",
            "telephone_number": "702-333-0110",
            "fax_number": "702-333-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELES MEDICAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "CEJA",
        "authorized_official_first_name": "ALEJANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-333-0110"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.