Organization Active NPI

Golden Crest Medical Group

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1740103332
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
GOLDEN CREST MEDICAL GROUP
Practice address
2675 S Jones Blvd Ste 102
Las Vegas, NV 89146-5607
Phone
(702) 899-9873
NPI assigned
Jul 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Rebecca Sabalvaro, NURSE PRACTITIONER
Title
Provider
Phone
(702) 899-9873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

2675 S Jones Blvd Ste 102
Las Vegas, NV 89146-5607

Mailing address

2675 S Jones Blvd Ste 102
Las Vegas, NV 89146-5607

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1740103332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 S JONES BLVD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 S JONES BLVD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465607",
            "telephone_number": "702-899-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CREST MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "SABALVARO",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "702-899-9873",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "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 Jul 31, 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.

Verify at the official NPI Registry.