Active NPI
Rivera Beltran Care Clinic PLLC
- Primary Care Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1619812021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- RIVERA BELTRAN CARE CLINIC PLLC
- Practice address
- 3650 S Eastern Ave Ste 100-N
Las Vegas, NV 89169-3379 - Phone
- (725) 325-2763
- NPI assigned
- Apr 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Heriberto Rivera Beltran, APRN
- Title
- Owner
- Phone
- (725) 325-2763
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
3650 S Eastern Ave Ste 100-N
Las Vegas, NV 89169-3379
Mailing address
3650 S Eastern Ave Ste 100-N
Las Vegas, NV 89169-3379
Phone (725) 325-2763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3650 S Eastern Ave
Ste 100N
Las Vegas, NV 89169
Phone (725) 325-2763
Practitioners & affiliated clinicians
Practitioners 1
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": "1776816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776816000000",
"number": "1619812021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 S EASTERN AVE STE 100-N",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891693379",
"telephone_number": "725-325-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 S EASTERN AVE STE 100-N",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891693379",
"telephone_number": "725-325-2763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERA BELTRAN CARE CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-22",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A",
"authorized_official_last_name": "BELTRAN",
"authorized_official_first_name": "HERIBERTO",
"authorized_official_middle_name": "RIVERA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "725-325-2763",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 22, 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.