Active NPI
Relatyv Mobile Medical LLC
- Other Specialist/Technologist
- Las Vegas, NV
National Provider Identifier
1992596126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- Legal business name
- RELATYV MOBILE MEDICAL LLC
- Practice address
- 4940 N El Capitan Way
Las Vegas, NV 89149-3542 - Phone
- (505) 870-4949
- Fax
- (877) 285-0477
- NPI assigned
- May 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janice A Compton
- Title
- Contracting
- Phone
- (830) 832-9703
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | Primary |
Addresses
Primary practice location
4940 N El Capitan Way
Las Vegas, NV 89149-3542
Mailing address
4940 N El Capitan Way
Las Vegas, NV 89149-3542
Phone (505) 870-4949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250609003429 | NV | Part B Supplier - Clinic/Group Practice | 4082130109 |
Receives reassigned benefits from 1 practitioner Practice locations: Las Vegas, NV |
National Provider Directory
National Provider Directory- Tax ID family
- Relatyv Mobile Medical LLC
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- NPI 1235925272
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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": "1747267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747267200000",
"number": "1992596126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4940 N EL CAPITAN WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891493542",
"telephone_number": "505-870-4949",
"fax_number": "877-285-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 N EL CAPITAN WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891493542",
"telephone_number": "505-870-4949",
"fax_number": "877-285-0477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELATYV MOBILE MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-15",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A",
"authorized_official_last_name": "COMPTON",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CONTRACTING",
"authorized_official_telephone_number": "830-832-9703"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.