Desert Medical Rehab LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

20131609510 Issued in NV

Legal business name

DESERT MEDICAL REHAB LLC

Practice address

3555 W Reno Ave
Suite F
Las Vegas, NV 89118-1609

Phone

(702) 876-9171

Fax

(702) 876-9083

NPI assigned

Oct 14, 2010

Organization subpart

No

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

Authorized official

Name

Bryan Schultz

Title

President

Phone

(702) 876-9171

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1790095586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 W RENO AVE",
            "address_2": "SUITE F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181609",
            "telephone_number": "702-876-9171",
            "fax_number": "702-876-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 W RENO AVE",
            "address_2": "SUITE F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181609",
            "telephone_number": "702-876-9171",
            "fax_number": "702-876-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MEDICAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-876-9171"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NV",
            "license": "20131609510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Institute of Specialty Care LLC
• Desert Integrative Health LLC
• Desert Medical Clinic
• Desert Medical Equipment
• Desert Medical Eye Center Optical Shop
• Desert Moon Sleep Lab LLC (Desert Moon Sleep Lab)
• Desert Nephrology of Nevada, LLC
• Desert Neurology Associates, LLC (Nicole F. Theuvenet, M.D.)
• Desert Neuromonitoring Group, LLC
• Desert Orthopaedic Billing LLC

• Customized Equipment (DME) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Customized Equipment (DME) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.