Active NPI
Stephen McCain, CNC, CPT, OLY
- Health & Wellness Coach
- Las Vegas, NV
National Provider Identifier
1770396103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- 1190351195
- Practice address
- 8744 Mesa Canogo Dr
Las Vegas, NV 89148-1433 - Phone
- (310) 717-8686
- NPI assigned
- Jan 29, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Exercise Physiologist | 224Y00000X | 1200502608 | CA | |
| Health & Wellness Coach | 171400000X | 1190351195 | CA | Primary |
Addresses
Primary practice location
8744 Mesa Canogo Dr
Las Vegas, NV 89148-1433
Mailing address
8744 Mesa Canogo Dr
Las Vegas, NV 89148-1433
Phone (310) 717-8686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1190351195 | CA | MD | Health & Wellness Coach |
| 1200502608 | CA | MD | Clinical Exercise Physiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1770396103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8744 MESA CANOGO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891481433",
"telephone_number": "310-717-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8744 MESA CANOGO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891481433",
"telephone_number": "310-717-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAIN",
"first_name": "STEPHEN",
"credential": "CNC, CPT, OLY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-29",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": "CA",
"license": "1200502608",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": "CA",
"license": "1190351195",
"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 Jan 29, 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.