Fremont Primary Care LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FREMONT PRIMARY CARE LTD

Practice address

9280 W Sunset Rd
Suite 418
Las Vegas, NV 89148-4860

Phone

(702) 430-3600

Fax

(702) 939-8827

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Jon Greg Griffin, CEO

Title

Ceo

Phone

(702) 671-6800

Specialties & licenses 1

Addresses

Other names 1

• Fremont Medical Center Doing business as

Tax ID family

Fremont Medical Center2 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.

• Fremont Primary Care LTD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1093706343
  NPD tax ID

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639246309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1737",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891251737",
            "telephone_number": "702-671-6800",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD",
            "address_2": "SUITE 418",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484860",
            "telephone_number": "702-430-3600",
            "fax_number": "702-939-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT PRIMARY CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "GREG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-671-6800",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fremont Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fremont Emergency Services Scherr LTD
• Fremont Emergency Services Scherr LTD
• Fremont Emergency Services Scherr LTD
• Fremont Primary Care - Endocrinology
• Fremont Primary Care LTD
• Fremont Women'S Health, LLC
• Fremont Women'S Health, LLC
• Andrea Diane French
• Beth French
• Catherine French

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.