Desert Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DESERT MEDICAL CLINIC

Practice address

1500 E Desert Inn Rd Ste 4
Las Vegas, NV 89169

Phone

(702) 916-1500

Fax

(702) 916-1458

NPI assigned

Jun 28, 2017

Organization subpart

No

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

Authorized official

Name

Abel Manukyan

Title

Managing Member

Phone

(702) 540-5049

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1851812978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E DESERT INN RD STE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E DESERT INN RD STE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89169",
            "telephone_number": "702-916-1500",
            "fax_number": "702-916-1458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Desert Inn Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891692550",
            "country_code": "US",
            "telephone_number": "725-244-7979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESERT MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "MANUKYAN",
        "authorized_official_first_name": "ABEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-540-5049"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Inn Chiropractic Center
• Desert Inn Residential Care
• Desert Inn Womens Clinic CHTD
• Desert Institute of Specialty Care LLC
• Desert Integrative Health LLC
• Desert Medical Equipment
• Desert Medical Eye Center Optical Shop
• Desert Medical Rehab LLC
• Desert Moon Sleep Lab LLC
• Desert Nephrology of Nevada, LLC

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.