NPIMap

Organization Active NPI

Southern Nevada Care Center

Doing business as Southern Nevada Medical and Behavioral group

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1679166839
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTHERN NEVADA CARE CENTER
Doing business as
Southern Nevada Medical and Behavioral group
Practice address
8879 W Flamingo Rd Ste 201
Las Vegas, NV 89147-8733
Phone
(702) 239-9235
Fax
(702) 989-4809
NPI assigned
Feb 18, 2021
Last updated
Mar 24, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN NEVADA CARE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Marichu Pizan, NPNPI 1497131668
Title
Ceo
Phone
(702) 239-9235

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

8879 W Flamingo Rd Ste 201
Las Vegas, NV 89147-8733

Mailing address

8879 W Flamingo Rd Ste 201
Las Vegas, NV 89147-8733
Phone (702) 239-9235

Other names 1

  • Southern Nevada Medical and Behavioral group Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2345327Southern Nevada Care Center8879 W Flamingo Rd Suite 202, Las Vegas, NV 89147Certificate of waiverJun 7, 2028

National Provider Directory

National Provider Directory
Tax ID family
Southern Nevada Care Center3 organizations share this tax ID, including this one
Part of
Southern Nevada Care Center

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1679166839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8879 W FLAMINGO RD STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478733",
            "telephone_number": "702-239-9235",
            "fax_number": "702-989-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8879 W FLAMINGO RD STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478733",
            "telephone_number": "702-239-9235",
            "fax_number": "702-989-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEVADA CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN NEVADA CARE CENTER",
        "enumeration_date": "2021-02-18",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "PIZAN",
        "authorized_official_first_name": "MARICHU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-239-9235",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Nevada Medical and Behavioral group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.