Organization Active NPI

Living Life Medical Center LLC

  • Medical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1942657473
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
LIVING LIFE MEDICAL CENTER LLC
Practice address
7720 W Sahara Ave
Ste 111
Las Vegas, NV 89117-2799
Phone
(702) 254-9014
Fax
(702) 254-9016
NPI assigned
May 13, 2016
Last updated
May 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Leslie Dawn Rowens, P.A.
Title
Owner
Phone
(702) 449-4889

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NV
Medical Physician Assistant 363AM0700X NV Primary
Pain Medicine Physician 208VP0000X NV

Addresses

Primary practice location

7720 W Sahara Ave
Ste 111
Las Vegas, NV 89117-2799

Mailing address

7720 W Sahara Ave
Ste 111
Las Vegas, NV 89117-2799
Phone (702) 254-9014

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160713000069 NV Part B Supplier - Clinic/Group Practice 7719279736 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

7720 W Sahara Ave
Ste 111
Las Vegas, NV 89117
Phone (702) 254-4451

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1942657473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 W SAHARA AVE",
            "address_2": "STE 111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172799",
            "telephone_number": "702-254-9014",
            "fax_number": "702-254-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 W SAHARA AVE",
            "address_2": "STE 111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172799",
            "telephone_number": "702-254-9014",
            "fax_number": "702-254-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING LIFE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "ROWENS",
        "authorized_official_first_name": "LESLIE DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-449-4889",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 May 13, 2016; 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.