COMMUNITY OUTREACH MEDICAL CENTER
NPI 1073721361
Clinic/Center - Community Health in Las Vegas, NV

Active since May 18, 2007CLIA 29D0978928 · Waiver
1090 E DESERT INN RD STE 200, LAS VEGAS, NV 89109(702) 657-3873(702) 636-0787 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 29, 2021, Dec 16, 2020 (2 updates tracked since 2020).

About Community Outreach Medical Center NPPES

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

COMMUNITY OUTREACH MEDICAL CENTER (NPI 1073721361) is a healthcare organization registered as a community health in Las Vegas, Nevada and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Kema Ogden, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1073721361
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameCOMMUNITY OUTREACH MEDICAL CENTER
Location Address1090 E DESERT INN RD STE 200Las Vegas, NV 89109-2803
Mailing Address1090 E Desert Inn Rd Ste 200Las Vegas, NV 89109-2803 · (702) 657-3873 · Fax (702) 636-0787
Fax(702) 636-0787
Organization SubpartNo
Authorized OfficialKema OgdenExecutive Director · (702) 657-3873
Enumeration DateMay 18, 2007
Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1073721361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License✔ Licensed in NV · 8907
1090 E DESERT INN RD STE 200, Las Vegas, NV 89109

Other Identifiers 1

Medicaid002018167NV

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Outreach Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Community Outreach Medical Center, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1780822866
2080 E FLAMINGO RD STE 302
Las Vegas, NV 89119
(702) 657-3873
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1770373680
2080 E FLAMINGO RD STE 302
Las Vegas, NV 89119
(702) 657-3873
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1790441855
2080 E FLAMINGO RD STE 302
Las Vegas, NV 89119
(702) 657-3873
✔ PECOS✔ Accepts Medicare1.3 mi
Family Practice
NPI 1346311354
2300 W CHARLESTON BLVD SUITE 265
Las Vegas, NV 89102
(702) 877-8629
✔ PECOS2.7 mi
Nurse Practitioner
NPI 1245833151
4750 W OAKEY BLVD
Las Vegas, NV 89102
(702) 877-5199
✔ PECOS✔ Accepts Medicare3.9 mi
Emergency Medicine
NPI 1326224056
14721 WHITECAP BLVD APT 346
Corpus Christi, TX 78418
(310) 406-5189
✔ PECOS✔ Accepts Medicare1,204 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D0978928

Community Outreach Medical Center · Las Vegas, NV
Active · expires Feb 27, 2027
CLIA Number29D0978928
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorEleanor K. Campbell
Laboratory Phone(702) 657-3873
Laboratory LocationCommunity Outreach Medical Center2080 E Flamingo Rd Ste 302, Las Vegas, NV 89119
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Community Outreach Medical Center's NPI number?

The NPI number for Community Outreach Medical Center is 1073721361. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Community Outreach Medical Center located?

Community Outreach Medical Center is located at 1090 E Desert Inn Rd Ste 200, Las Vegas, NV 89109. The listed phone number is (702) 657-3873.

What is Community Outreach Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Community Outreach Medical Center enrolled in Medicare?

Yes. Community Outreach Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Outreach Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Community Outreach Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Emergency Medicine (1) and Family Practice (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Community Outreach Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D0978928) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Outreach Medical Center accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Community Outreach Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Outreach Medical Center was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.