Nevada State Family Services LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

NEVADA STATE FAMILY SERVICES LLC

Practice address

4760 S Pecos Rd Ste 103-25
Las Vegas, NV 89121-6038

Phone

(702) 683-8987

NPI assigned

Sep 8, 2021

Organization subpart

No

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

Authorized official

Name

Estrella SalazarNPI 1497115927

Title

Ceo

Phone

(702) 683-8987

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 1

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

• Estrella Salazar

  • Behavior Analyst
  • North Las Vegas, NV
  • NPI 1497115927
  NPD Authorized official

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1649949124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 W CRAIG RD UNIT E-288",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 S PECOS RD STE 103-25",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891216038",
            "telephone_number": "702-683-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA STATE FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "ESTRELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-683-8987"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nevada Spine and Disc
• Nevada Sports and Spine
• Nevada Stat Laboratory
• Nevada State Behavioral Health Services L.L.C.
• Nevada State Family Clinic, LLC
• Nevada State Labor Development Services
• Nevada State Pharmacy - Las Vegas LLC
• Nevada State Triage Center
• Nevada Structured Family Services
• Nevada Surgery and Cancer Care

• Primary Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.