Imperial Excell Care Medical LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

IMPERIAL EXCELL CARE MEDICAL LLC

Practice address

4055 Spencer St Ste 131
Las Vegas, NV 89119-5251

Phone

(702) 258-1384

Fax

(702) 258-1387

NPI assigned

Oct 17, 2019

Organization subpart

No

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

Authorized official

Name

Jose Imperial

Title

Owner

Phone

(702) 239-1592

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

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

• Heyaw A Amene

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1447997325
  Medicare reassignment NPD
• Anna Marie Gonzales Zamora

  • Nurse Practitioner
  • North Hollywood, CA
  • NPI 1760073746

  NV

  Medicare reassignment

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774742400000",
    "number": "1619519022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 SPENCER ST STE 131",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195251",
            "telephone_number": "702-258-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 SPENCER ST STE 131",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195251",
            "telephone_number": "702-258-1384",
            "fax_number": "702-258-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL EXCELL CARE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2026-03-29",
        "certification_date": "2026-03-29",
        "status": "A",
        "authorized_official_last_name": "IMPERIAL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-239-1592"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Jean Imorde
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• Imperial Labs
• Angeligue Nicole Imperial
• Implants Dentures & Dental, Inc
• Improve Hospice Inc
• Improved Community Mental Health Services LLC

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.