San Alberto Health Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SAN ALBERTO HEALTH CENTER LLC

Practice address

2820 W Charleston Blvd Ste 29
Las Vegas, NV 89102-1933

Phone

(702) 373-3529

NPI assigned

Jul 23, 2024

Organization subpart

No

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

Authorized official

Name

Janoy Capote-Diaz

Title

Owner

Phone

(702) 373-3529

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1689402448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 W CHARLESTON BLVD STE 29",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W CHARLESTON BLVD STE 29",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021933",
            "telephone_number": "702-373-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ALBERTO HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "CAPOTE-DIAZ",
        "authorized_official_first_name": "JANOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-373-3529"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Samuels
• Sasha Sheyenne Samuels
• Sharet I Samuels, REGISTERED NURSE
• Taylor S Samuels
• Deanna Samvelian
• San Carlos Company Inc.
• Isaiah Erik San Diego
• Abigail San Jose
• Joselito Paulo I San Jose, APRN, NP-C
• Josenia San Jose

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.