NPIMap

Organization Active NPI

Sunrise Health Clinics LLC

  • Public Health & General Preventive Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1629405840
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
SUNRISE HEALTH CLINICS LLC
Practice address
6767 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4755
Phone
(702) 209-0370
Fax
(702) 463-1851
NPI assigned
Oct 2, 2013
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Beschelle Juanmia LockhartNPI 1790069169
Title
Owner
Phone
(702) 209-0370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X NU Primary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

6767 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4755

Mailing address

6767 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4755
Phone (702) 209-0370

Other identifiers 1

IdentifierTypeStateIssuer
NV20141642973OtherNVSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.sunriseclinics.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160922001110 NV Part B Supplier - Clinic/Group Practice 6406143239 Receives reassigned benefits from 11 practitioners
2 other NPIs on this enrollment
Practice locations: Las Vegas, NV

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Clinics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1629405840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 W TROPICANA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034755",
            "telephone_number": "702-209-0370",
            "fax_number": "702-463-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 W TROPICANA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034755",
            "telephone_number": "702-209-0370",
            "fax_number": "702-463-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE HEALTH CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "BESCHELLE",
        "authorized_official_middle_name": "JUANMIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-209-0370"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "NV20141642973",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sunriseclinics.org",
            "affiliation": "N",
            "address_1": "6767 W Tropicana Ave Ste 100",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891034755",
            "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 Mar 7, 2024; 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.