Organization Active NPI

Jxe Ventures LLC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1881263309
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
JXE VENTURES LLC
Practice address
4255 E Charleston Blvd Ste F&G
Las Vegas, NV 89104-6685
Phone
(702) 812-9856
NPI assigned
Jun 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Juan Ramos
Title
Owner
Phone
(702) 812-9856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4255 E Charleston Blvd Ste F&G
Las Vegas, NV 89104-6685

Mailing address

377 Castellari Dr
Las Vegas, NV 89138-4640
Phone (702) 812-9856

Other names 1

  • San Juan Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220622001006 NV Part B Supplier - Clinic/Group Practice 1052790037 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2260332San Juan Medical Center4255 E Charleston Blvd, Ste F & G, Las Vegas, NV 89104Certificate of waiverMay 16, 2028

National Provider Directory

National Provider Directory

Locations

4255 E Charleston Blvd
Ste Fg
Las Vegas, NV 89104
Phone (702) 544-0641

4255 E Charleston Blvd
Ste F
Las Vegas, NV 89104

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24737/brand/1/csg/1/fhir/r4

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": "1624060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1881263309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 CASTELLARI DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891384640",
            "telephone_number": "702-812-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 E CHARLESTON BLVD STE F&G",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891046685",
            "telephone_number": "702-812-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JXE VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-19",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-812-9856"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Juan Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.