SAFE HARBOR MEDICAL INC. NPI 1821290115

NPI Information

  • NPI: 1821290115
  • Provider Name: SAFE HARBOR MEDICAL, INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • Address: 2901 N TENAYA WAY STE 100
    LAS VEGAS, NV
    ZIP 89128
  • Phone: (702) 870-8852

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NPI Details

SAFE HARBOR MEDICAL, INC. is a family medicine in Las Vegas, NV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SAFE HARBOR MEDICAL, INC. NPI is 1821290115. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

2901 N TENAYA WAY STE 100
LAS VEGAS, NV
ZIP 89128-404
Phone: (702) 870-8852
Fax: (702) 870-8914

The provider's authorized official is Tina A Alicea .
The authorized official title is Ceo and has the following contact phone number (702) 870-8852.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 9/2/2025.

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
1207Q00000XFamily Medicine113458NEVADAYes

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
1250007806MEDICAIDNEVADA
22019993MEDICAIDNEVADA
3NPIOTHERNEVADA1457320004
41104478270MEDICAIDNEVADA
5184105523MEDICAIDNEVADA
61841205523MEDICAIDNEVADA
7100517352MEDICAIDNEVADA
81619657996MEDICAIDNEVADA
9NPIOTHERNEVADA1932741048

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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