Organization Active NPI

Primary Care of Souther Nevada LLC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1699502344
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PRIMARY CARE OF SOUTHER NEVADA LLC
Practice address
1681 E Flamingo Rd Ste 1B
Las Vegas, NV 89119-5274
Phone
(702) 703-8008
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Karapet Ayvazyan
Title
Owner
Phone
(702) 703-8008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1681 E Flamingo Rd Ste 1B
Las Vegas, NV 89119-5274

Mailing address

1681 E Flamingo Rd Ste 1B
Las Vegas, NV 89119-5274
Phone (702) 703-8008

National Provider Directory

National Provider Directory

Locations

1681 E Flamingo Rd
Ste 1B
Las Vegas, NV 89119
Phone (702) 703-8008

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1699502344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 E FLAMINGO RD STE 1B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195274",
            "telephone_number": "702-703-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 E FLAMINGO RD STE 1B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195274",
            "telephone_number": "702-703-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE OF SOUTHER NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "AYVAZYAN",
        "authorized_official_first_name": "KARAPET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-703-8008"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 17, 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.