JGBB LLC NPI 1659846699

NPI Information

  • NPI: 1659846699
  • Provider Name: JGBB LLC
  • Classification: Clinic/Center - 261QI0500X
  • Specialization: Infusion Therapy
  • Entity Type: Organization
  • Address: 801 S RANCHO DR STE D1-B
    LAS VEGAS, NV
    ZIP 89106
  • Phone: (702) 478-5133

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NPI Details

JGBB LLC is an infusion therapy clinic center in Las Vegas, NV. JGBB LLC NPI is 1659846699. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

801 S RANCHO DR STE D1-B
LAS VEGAS, NV
ZIP 89106-854
Phone: (702) 478-5133
Fax: (702) 478-5401

The provider's authorized official is Teresa Patawaran Buco .
The authorized official title is Administrator and has the following contact phone number (702) 790-4404.

The enumeration date for this NPI number is 10/5/2018 and was last updated on 10/29/2025.

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
1163WA2000XRegistered NurseAdministratorNo
2163WH0200XRegistered NurseHome HealthNo
3163WI0500XRegistered NurseInfusion TherapyNo
4163WP2201XRegistered NurseAmbulatory CareNo
5164W00000XLicensed Practical NurseNo
6261Q00000XClinic/CenterNo
7261QH0100XClinic/CenterHealth ServiceNo
8261QP2400XClinic/CenterPrison HealthNo
9332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility SuppliesNo
10261QI0500XClinic/CenterInfusion TherapyYes

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
1250004956MEDICAIDNEVADA

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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