Ian K Yamane DC PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IAN K YAMANE DC PC

Practice address

2851 N Tenaya Way Ste 205
Las Vegas, NV 89128-0453

Phone

(702) 658-0204

Fax

(702) 658-7117

NPI assigned

Apr 14, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Tracey Guzman

Title

Manager

Phone

(702) 309-4878

Specialties & licenses 4

Addresses

Other names 1

• Valhalla Wellness & Medical Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ian K Yamane DC PC

  • Chiropractor
  • Las Vegas, NV
  • NPI 1174625917

  O20040205000548

  Same enrollment

Tax ID family

Ian K Yamane D C P C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ian K Yamane DC PC

  • Chiropractor
  • Las Vegas, NV
  • NPI 1174625917
  NPD tax ID

Locations

Practitioners 3

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

• Jonathan A Maxham, DO

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1811124589

  Internal Medicine

  NPD
• Jeffrey Scott Keysar, D.C.

  • Chiropractor
  • Las Vegas, NV
  • NPI 1558311100
  NPD (past)
• Loren W. Wright, D.C.

  • Chiropractor
  • Las Vegas, NV
  • NPI 1215105531
  NPD (past)

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1831885573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 N TENAYA WAY STE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280453",
            "telephone_number": "702-658-0204",
            "fax_number": "702-658-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 N TENAYA WAY STE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280453",
            "telephone_number": "702-658-0204",
            "fax_number": "702-658-7117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2440 W Horizon Ridge Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890522731",
            "country_code": "US",
            "telephone_number": "702-798-7171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IAN K YAMANE DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-309-4878",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valhalla Wellness & Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valhalla Wellness & Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth Angelo Iacoviello, M.S.
• Isaiah Iaea
• Esther L Iaela
• Ian Amaranto
• Ian K Yamane DC PC
• Ian Kawamoto, OD LLC
• Ralph J Ianacone, DC
• Mihai Florin Iancu, M.D.
• Kevin J Iannazzo, CO
• Mary Iapicca

• All providers in Las Vegas, NV
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.