Active NPI
Alena Medspa & Wellness LLC
- Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1720932122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- ALENA MEDSPA & WELLNESS LLC
- Practice address
- 4550 E Charleston Blvd
Las Vegas, NV 89104-5525 - Phone
- (702) 475-4352
- NPI assigned
- Feb 23, 2026
- Last updated
- Oct 12, 2026
- 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
- Oscar Alonso Oduardo, APRN
- Title
- Ceo
- Phone
- (702) 475-4352
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Medical Specialty Clinic/Center | 261QM2500X | |||
| Urgent Care Clinic/Center | 261QU0200X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
4550 E Charleston Blvd
Las Vegas, NV 89104-5525
Mailing address
4550 E Charleston Blvd
Las Vegas, NV 89104-5525
Phone (702) 475-4352
National Provider Directory
National Provider Directory- Tax ID family
- Alena Medspa Wellness LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nurse Practitioner
- Las Vegas, NV
- NPI 1386558781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791763200000",
"number": "1720932122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 E CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891045525",
"telephone_number": "702-475-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 E CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891045525",
"telephone_number": "702-475-4352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALENA MEDSPA & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-23",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A",
"authorized_official_last_name": "ALONSO ODUARDO",
"authorized_official_first_name": "OSCAR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-475-4352",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"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 Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.