FORMA INTEGRATED HEALTHCARE
NPI 1023964657
Specialist in Las Vegas, NV

NPI Status: Active since March 06, 2026

Contact Information

2655 S RAINBOW BLVD STE 410
LAS VEGAS, NV
ZIP 89146
Phone: (702) 726-9722
Fax: (702) 906-0067

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  • Organization
  • Specialist

About FORMA INTEGRATED HEALTHCARE

This page provides the complete NPI Profile along with additional information for Forma Integrated Healthcare, a provider established in Las Vegas, Nevada operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1023964657 assigned on March 2026. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated March 2026. Forma Integrated Healthcare operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ann Uganiza (Ceo)

NPI
1023964657
Provider Name
FORMA INTEGRATED HEALTHCARE
Entity Type
Organization
Location Address
2655 S RAINBOW BLVD STE 410 LAS VEGAS, NV 89146
Location Phone
(702) 726-9722
Location Fax
(702) 906-0067
Mailing Address
2655 S RAINBOW BLVD STE 410 LAS VEGAS, NV 89146
Mailing Phone
(702) 726-9722
Mailing Fax
(702) 906-0067
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-06-2026
Last Update Date
03-09-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TF0000XBehavioral Health & Social Service Providers

Psychologist
Family

 
2163WW0000XNursing Service Providers

Registered Nurse
Wound Care

 
3207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
4363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 
5363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANN UGANIZA

Authorized Official Title
CEO
Authorized Official Phone
(702) 531-4540

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023964657, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 9 → 18 → 9 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 1 + 8 + 6 + 8 + 6 + 1 + 0 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1023964657.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Primary Care)
2655 S RAINBOW BLVD STE 410
LAS VEGAS, NV 89146

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023964657, enumerated as an "organization" on March 06, 2026.

The provider is located at 2655 S RAINBOW BLVD STE 410 LAS VEGAS, NV 89146 and the phone number is (702) 726-9722.

Specialist with taxonomy code 174400000X.