Organization Active NPI

Samsajor LLC

Doing business as Viva Quick Care Family Clinic

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1992113476
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN001077 Issued in NV
Legal business name
SAMSAJOR LLC
Doing business as
Viva Quick Care Family Clinic
Practice address
568 N Eastern Ave Ste B
Las Vegas, NV 89101-3454
Phone
(702) 522-7275
Fax
(702) 272-1317
NPI assigned
Jul 28, 2014
Last updated
Jul 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Mrs. Ethel Sajor Sam, NURSE PRACTITIONER
Title
President
Phone
(702) 522-7275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN001077 NV Primary

Addresses

Primary practice location

568 N Eastern Ave Ste B
Las Vegas, NV 89101-3454

Mailing address

568 N Eastern Ave Ste B
Las Vegas, NV 89101-3454
Phone (702) 522-7275

Other names 1

  • VIVA QUICK CARE FAMILY CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

568 N Eastern Ave
Ste B
Las Vegas, NV 89101
Phone (702) 522-7275

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1992113476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 N EASTERN AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013454",
            "telephone_number": "702-522-7275",
            "fax_number": "702-272-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 N EASTERN AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013454",
            "telephone_number": "702-522-7275",
            "fax_number": "702-272-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMSAJOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "SAM",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_middle_name": "SAJOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-522-7275",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIVA QUICK CARE FAMILY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 28, 2014; 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.