NPIMap

Organization Active NPI

Mobile Care Medical Group, Inc

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1609597152
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
MOBILE CARE MEDICAL GROUP, INC
Practice address
2975 S Rainbow Blvd Ste E3
Las Vegas, NV 89146-6218
Phone
(702) 529-0058
NPI assigned
Sep 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Marlon C Salamat
Title
Officer
Phone
(747) 300-7541

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

2975 S Rainbow Blvd Ste E3
Las Vegas, NV 89146-6218

Mailing address

2975 S Rainbow Blvd Ste E3
Las Vegas, NV 89146-6218
Phone (702) 529-0058

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.practicefusion.com Direct

National Provider Directory

National Provider Directory

Locations

1200 E Route 66
Ste 102
Glendora, CA 91740
Phone (213) 567-4520

5015 Eagle Rock Blvd
Ste 205
Los Angeles, CA 90041
Phone (213) 261-4978

3850 Smith St
Unit 3
Union City, CA 94587
Phone (213) 261-4978

2100 S Maryland Pkwy
Ste 9
Las Vegas, NV 89104
Phone (818) 267-7945

Practitioners & affiliated clinicians

Practitioners 12

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": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1609597152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 S RAINBOW BLVD STE E3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466218",
            "telephone_number": "702-529-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 S RAINBOW BLVD STE E3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466218",
            "telephone_number": "702-529-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE CARE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "SALAMAT",
        "authorized_official_first_name": "MARLON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "747-300-7541"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2975 S Rainbow Blvd Ste E3",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891466218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.