Organization Active NPI

Cov Clinic LLC

  • Urgent Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1811587793
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
COV CLINIC LLC
Practice address
5425 S Valley View Blvd
Las Vegas, NV 89118-2415
Phone
(516) 417-4941
NPI assigned
Jan 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Mubarak Shah
Title
Owner
Phone
(516) 417-4941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

5425 S Valley View Blvd
Las Vegas, NV 89118-2415

Mailing address

5425 S Valley View Blvd
Las Vegas, NV 89118-2415
Phone (516) 417-4941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210224001363 NV Part B Supplier - Mass Immunization (Roster Biller Only) 3870908981 Practice locations: Las Vegas, NV
O20210224002540 CA Part B Supplier - Mass Immunization (Roster Biller Only) 3870908981 Practice locations: Chula Vista, CA; Vista, CA; Orange, CA; El Cajon, CA; Irvine, CA

National Provider Directory

National Provider Directory

Locations

821 Kuhn Dr
Ste 110
Chula Vista, CA 91914
Phone (980) 833-4645

550 E Park Ave
El Cajon, CA 92020
Phone (619) 588-3092

1281 Liberty Way
Vista, CA 92081
Phone (760) 216-6047

3201 State Route 27
Franklin Park, NJ 08823
Phone (980) 833-4645

5425 S Valley View Blvd
Ste 1
Las Vegas, NV 89118
Phone (516) 417-4941

5425 S Valley View Blvd
Las Vegas, NV 89118
Phone (516) 417-4941

4130 Spring Mountain Rd
Las Vegas, NV 89102
Phone (980) 833-4645

376 W Sahara Ave
Las Vegas, NV 89102
Phone (980) 833-4645

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1811587793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 S VALLEY VIEW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182415",
            "telephone_number": "516-417-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 S VALLEY VIEW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182415",
            "telephone_number": "516-417-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COV CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MUBARAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-417-4941"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent 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 Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.