Organization Active NPI

West Valley Medical Group LLC

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1770458499
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WEST VALLEY MEDICAL GROUP LLC
Practice address
1064 E Sahara Ave Ste B
Las Vegas, NV 89104-3220
Phone
(702) 806-1456
NPI assigned
Oct 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Alyssa Marie Oliva
Title
Administrator
Phone
(702) 806-1456

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

1064 E Sahara Ave Ste B
Las Vegas, NV 89104-3220

Mailing address

1064 E Sahara Ave Ste B
Las Vegas, NV 89104-3220

National Provider Directory

National Provider Directory

Locations

1064 E Sahara Ave
Ste B
Las Vegas, NV 89104
Phone (702) 806-1456

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1770458499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 E SAHARA AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 E SAHARA AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043220",
            "telephone_number": "702-806-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "OLIVA",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-806-1456"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 10, 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.

Verify at the official NPI Registry.