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ST CLARE MEDICAL SERVICES INC NPI 1548579022


NPI Information

NPI: 1548579022
Provider Name: ST CLARE MEDICAL SERVICES INC

Other Name: VICTOR A DELEON, MD

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization

CLIA Number: 29D2123322

Address:
2525 W CHARLESTON BLVD
SUITE 100
LAS VEGAS, NV
ZIP 89102
Phone: (702) 878-2801
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ST CLARE MEDICAL SERVICES INC is a preferred provider organization in Las Vegas, NV. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. ST CLARE MEDICAL SERVICES INC NPI is 1548579022. The provider is registered as an organization entity type.
The provider Other Name Is Victor A Deleon, Md.

The provider's business location address is:

2525 W CHARLESTON BLVD
SUITE 100
LAS VEGAS, NV
ZIP 89102-127
Phone: (702) 878-2801
Fax: (702) 878-3050

The provider's authorized official is Kimberly Phan .
The authorized official title is Billing Coordinator and has the following contact phone number (702) 808-4741.

The CLIA number assigned to this NPI record is 29D2123322 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2010 and was last updated on 10/11/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1302R00000XHealth Maintenance OrganizationNV9215NEVADANo
2305R00000XPreferred Provider OrganizationNV9215NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002018374MEDICAIDNEVADA
2H19982MEDICARE UPIN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.