Arvama Medical Center LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ARVAMA MEDICAL CENTER LLC

Practice address

4660 S Eastern Ave Ste 205
Las Vegas, NV 89119-6139

Phone

(702) 504-6590

NPI assigned

Jul 28, 2025

Last updated

Aug 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexey Martin Manso

Title

Officer Manager

Phone

(702) 504-6590

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexey Martin

  • Personal Care Attendant
  • Las Vegas, NV
  • NPI 1669975249
  NPD

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1881577815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3543 WINGROVE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213550",
            "telephone_number": "702-504-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 S EASTERN AVE STE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196139",
            "telephone_number": "702-504-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARVAMA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "MARTIN MANSO",
        "authorized_official_first_name": "ALEXEY",
        "authorized_official_title_or_position": "OFFICER MANAGER",
        "authorized_official_telephone_number": "702-504-6590"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705319639",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eileen Arzola

• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.