Axon Medical Clinic LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

AXON MEDICAL CLINIC LLC

Practice address

2193 Eaglecloud Dr
Henderson, NV 89074-1801

Phone

(702) 619-8730

NPI assigned

Oct 4, 2023

Last updated

Oct 5, 2023By 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

Alejandro J Loreto AmparanNPI 1659951564

Title

Owner

Phone

(702) 619-7179

Specialties & licenses 2

Addresses

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.

• Alejandro Javier Loreto Amparan

  • Counselor
  • Las Vegas, NV
  • NPI 1659951564
  NPD Authorized official

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1982484127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2193 EAGLECLOUD DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741801",
            "telephone_number": "702-619-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2193 EAGLECLOUD DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741801",
            "telephone_number": "702-619-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXON MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "LORETO AMPARAN",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-619-7179"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexus Aviles
• Lindley G. Avina, MD
• Yadira Avina
• Avra Hospice Care Inc
• Jaynan Awong, RBT
• Menbe Ayalewu
• Denise Ayon
• Diana S Ayotte, LCPC
• Wahida Azimi, D.O.
• Lillian Azzam, DMD

• General Practice Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• General Practice Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.