1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Internal Medicine
  6. NPI Profile

CENTERWELL SENIOR PRIMARY CARE-BONANZA
NPI 1003695545
Internal Medicine in Las Vegas, NV

Active since September 25, 2023
691 N NELLIS BLVD, LAS VEGAS, NV 89110(702) 430-9996(877) 409-2125 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Centerwell Senior Primary Care-bonanza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTERWELL SENIOR PRIMARY CARE-BONANZA (NPI 1003695545) is a healthcare organization registered as an internal medicine in Las Vegas, Nevada and active in the NPI registry since September 2023. The organization lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1003695545
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (NV) PC
Location Address691 N NELLIS BLVDLas Vegas, NV 89110-5383
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(702) 430-9996
Fax(877) 409-2125
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateSeptember 25, 2023
Last NPPES UpdateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
✔ NPI 1003695545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedGeneral PracticeTaxonomy 208D00000X
691 N NELLIS BLVD, Las Vegas, NV 89110
Open in Google Maps ↗

Other Names 1

Doing Business AsCenterwell Senior Primary Care-bonanza

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEVADA HEALTH CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
691 N NELLIS BLVD
LAS VEGAS, NV 89110
Clark County (702) 563-4662
MS. MARGUERITE J LOPRESTI PHYSICIAN ASSISTANT
Physician Assistant
691 N NELLIS BLVD
LAS VEGAS, NV 89110
Clark County (702) 563-4662
SHARLONA PAYNE APRN
Nurse Practitioner (Gerontology)
691 N NELLIS BLVD
LAS VEGAS, NV 89110
Clark County (855) 975-5119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centerwell Senior Primary Care (nv) PC's NPI number?

The NPI number for Centerwell Senior Primary Care (nv) PC is 1003695545. It was assigned to this organization in the NPPES registry on September 25, 2023. The provider is doing business as Centerwell Senior Primary Care-Bonanza.

Where is Centerwell Senior Primary Care (nv) PC located?

Centerwell Senior Primary Care (nv) PC is located at 691 N Nellis Blvd, Las Vegas, NV 89110. The listed phone number is (702) 430-9996.

What is Centerwell Senior Primary Care (nv) PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care (nv) PC was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.