MEDICOTEK INC NPI 1790450104

NPI Information

  • NPI: 1790450104
  • Provider Name: MEDICOTEK INC
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Organization
  • Doing Business As: OPTIMA HEALTHCARE
  • Address: 6859 S EASTERN AVE STE 103
    LAS VEGAS, NV
    ZIP 89119
  • Phone: (702) 778-4838

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NPI Details

MEDICOTEK INC is a nurse practitioner in Las Vegas, NV. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. MEDICOTEK INC NPI is 1790450104. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Optima Healthcare.

The provider's business location address is:

6859 S EASTERN AVE STE 103
LAS VEGAS, NV
ZIP 89119-003
Phone: (702) 778-4838

The provider's authorized official is Marivic Luna Banal .
The authorized official title is Director and has the following contact phone number (702) 778-4838.

The enumeration date for this NPI number is 8/9/2021 and was last updated on 10/27/2021.

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
1207RC0000XInternal MedicineCardiovascular DiseaseNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3261QR0200XClinic/CenterRadiologyNo
4363L00000XNurse PractitionerYes

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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