TOTAL FAMILY CARE SPECIALISTS NPI 1629362959

NPI Information

NPI: 1629362959
Provider Name: TOTAL FAMILY CARE SPECIALISTS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 29D2096073

Address:
3280 N RAINBOW BLVD
110
LAS VEGAS, NV
ZIP 89108
Phone: (702) 233-4555
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TOTAL FAMILY CARE SPECIALISTS is a primary care clinic center in Las Vegas, NV. TOTAL FAMILY CARE SPECIALISTS NPI is 1629362959. The provider is registered as an organization entity type.

The provider's business location address is:

3280 N RAINBOW BLVD
110
LAS VEGAS, NV
ZIP 89108
Phone: (702) 233-4555
Fax: (702) 233-1081

The provider's authorized official is Madlin Ellyin .
The authorized official title is Office Manager and has the following contact phone number (702) 233-4555.

The CLIA number assigned to this NPI record is 29D2096073 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2011 and was last updated on 7/2/2012.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2019551	MEDICAID	NEVADA
2	VMD6787	MEDICARE UPIN	NEVADA
3	E95681	OTHER	NEVADA	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

NPI Synchronization or Removal

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