Clinica Santa Maria LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14003243100349 Issued in NV

Legal business name

CLINICA SANTA MARIA LLC

Practice address

2354 E Bonanza Rd
Las Vegas, NV 89101-3451

Phone

(702) 399-9161

NPI assigned

Oct 3, 2006

Last updated

Jul 6, 2011By 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

Robert Joseph Webb

Title

Managing Partner

Phone

(702) 399-9161

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1972697712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36340",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891336340",
            "telephone_number": "702-735-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2354 E BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013451",
            "telephone_number": "702-399-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA SANTA MARIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-399-9161"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "14003243100349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jul 6, 2011; 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.