Organization Active NPI

RB Wellness Clinic, LLC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1912540287
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RB WELLNESS CLINIC, LLC
Practice address
2801 W Charleston Blvd Ste 200
Las Vegas, NV 89102-1965
Phone
(702) 659-9180
Fax
(702) 659-9190
NPI assigned
Oct 19, 2019
Last updated
Dec 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Rosaly Marie Diaz TorruellasNPI 1114340858
Title
Provider
Phone
(702) 659-9180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2801 W Charleston Blvd Ste 200
Las Vegas, NV 89102-1965

Mailing address

2801 W Charleston Blvd Ste 200
Las Vegas, NV 89102-1965
Phone (702) 659-9180

Other practice location 1

2810 W Charleston Blvd Ste 46
Las Vegas, NV 89102-1905
Phone (787) 550-9188

Other identifiers 2

IdentifierTypeStateIssuer
250005949MedicaidNV
17070MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200124002488 NV Part B Supplier - Clinic/Group Practice 1254766041 Receives reassigned benefits from 2 practitioners
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
29D2173999RB Wellness Clinic2801 W Charleston Blvd Ste 200, Las Vegas, NV 89102Certificate of waiverOct 21, 2027

National Provider Directory

National Provider Directory

Locations

2801 W Charleston Blvd
Ste 200
Las Vegas, NV 89102
Phone (702) 477-7764

2810 W Charleston Blvd
Ste 46
Las Vegas, NV 89102
Phone (702) 258-4469

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1571443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1912540287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W CHARLESTON BLVD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021965",
            "telephone_number": "702-659-9180",
            "fax_number": "702-659-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W CHARLESTON BLVD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021965",
            "telephone_number": "702-659-9180",
            "fax_number": "702-659-9190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 W Charleston Blvd Ste 46",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021905",
            "country_code": "US",
            "telephone_number": "787-550-9188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RB WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-19",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "DIAZ TORRUELLAS",
        "authorized_official_first_name": "ROSALY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "702-659-9180"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250005949",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17070",
            "state": "NV"
        }
    ],
    "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 Dec 3, 2025; 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.