Active NPI
Mesquite Medical Associates
- Chiropractor
- Mesquite, NV
National Provider Identifier
1720060890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B355
- Legal business name
- MESQUITE MEDICAL ASSOCIATES
- Practice address
- 1301 Bertha Howe Ave
Suite 1
Mesquite, NV 89027-7502 - Phone
- (702) 346-0800
- Fax
- (702) 346-0801
- NPI assigned
- Nov 15, 2005
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lloyd Gatherum
- Title
- C.F.O.
- Phone
- (702) 346-0800
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | B355 | NV | Primary |
| Family Medicine Physician | 207Q00000X | APN00314 | NV | |
| Family Medicine Physician | 207Q00000X | 8194 | NV | |
| Family Medicine Physician | 207Q00000X | 97 | NV | |
| Internal Medicine Physician | 207R00000X | 0841 | NV | |
| Internal Medicine Physician | 207R00000X | 10328 | NV | |
| Pediatrics Physician | 208000000X | 10669 | NV |
Addresses
Primary practice location
1301 Bertha Howe Ave
Suite 1
Mesquite, NV 89027-7502
Mailing address
1301 Bertha Howe Ave
Suite 1
Mesquite, NV 89027-7502
Phone (702) 346-0800
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PIN#38138 | Other | NV | LEO BLACK, DC |
| 811621 | Medicaid | AZ | |
| PIN#37972 | Other | NV | ENRIQUE ALFARO, MD |
| PIN#32238 | Other | NV | LONNIE EMPEY, DO |
| 811580 | Medicaid | AZ | |
| 811598 | Medicaid | AZ | |
| PIN#36266 | Other | NV | JEFFREY WRIGHT, PAC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1407838584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1720060890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BERTHA HOWE AVE",
"address_2": "SUITE 1",
"city": "MESQUITE",
"state": "NV",
"postal_code": "890277502",
"telephone_number": "702-346-0800",
"fax_number": "702-346-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BERTHA HOWE AVE",
"address_2": "SUITE 1",
"city": "MESQUITE",
"state": "NV",
"postal_code": "890277502",
"telephone_number": "702-346-0800",
"fax_number": "702-346-0801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESQUITE MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-15",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "GATHERUM",
"authorized_official_first_name": "LLOYD",
"authorized_official_title_or_position": "C.F.O.",
"authorized_official_telephone_number": "702-346-0800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NV",
"license": "B355",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NV",
"license": "APN00314",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NV",
"license": "8194",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NV",
"license": "97",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NV",
"license": "0841",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NV",
"license": "10328",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NV",
"license": "10669",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LEO BLACK, DC",
"identifier": "PIN#38138",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "811621",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ENRIQUE ALFARO, MD",
"identifier": "PIN#37972",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LONNIE EMPEY, DO",
"identifier": "PIN#32238",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "811580",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "811598",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JEFFREY WRIGHT, PAC",
"identifier": "PIN#36266",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, NV
- Mesa View Physical Rehabilitation, LLC
- Mesa View Regional Hospital
- Mesquite Clinic Management Company LLC (Mesa View Medical Group)
- Mesquite Clinic Management Company LLC
- Mesquite Dialysis Center LLC
- Mesquite Medical Equipment
- Mesquite Vein and Laser, Inc
- Mesquite Womens Clinic LLC
- MMC of Nevada LLC (Mesa View Regional Hospital)
- MMC of Nevada LLC (Mesa View Regional Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.