PACE HEALTHCARE LLC NPI 1306230206

NPI Information

  • NPI: 1306230206
  • Provider Name: PACE HEALTHCARE LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 9360 NETHERFIELD AVE
    LAS VEGAS, NV
    ZIP 89178
  • Phone: (951) 514-5886

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NPI Details

PACE HEALTHCARE LLC is a general practice in Las Vegas, NV. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PACE HEALTHCARE LLC NPI is 1306230206. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9360 NETHERFIELD AVE
LAS VEGAS, NV
ZIP 89178-535
Phone: (951) 514-5886
Fax: (702) 638-7706

The provider's authorized official is Jay Bowman .
The authorized official title is Excecutive Director and has the following contact phone number (951) 514-5886.

The enumeration date for this NPI number is 3/27/2015 and was last updated on 4/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorNEVADANo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNEVADANo
4208M00000XHospitalistNEVADANo
5261Q00000XClinic/CenterNEVADANo
6363L00000XNurse PractitionerNEVADANo
7208D00000XGeneral PracticeNEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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