Organization Active NPI

Rivera Beltran Care Clinic PLLC

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1619812021
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
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

Updated by the provider on Apr 22, 2026

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)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20260623002820 NV Part B Supplier - Clinic/Group Practice 9335612290 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.