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SAFE HARBOR MEDICAL
NPI 1083327456
Clinic/Center - Federally Qualified Health Center (FQHC) in Las Vegas, NV

Active since January 02, 2023CLIA 29D2259196 · Waiver
2901 N TENAYA WAY STE 100, LAS VEGAS, NV 89128(702) 870-8852(702) 870-8914 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2024, Jan 2, 2023 (2 updates tracked since 2023).

About Safe Harbor Medical NPPES

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

SAFE HARBOR MEDICAL (NPI 1083327456) is a healthcare organization registered as a federally qualified health center (fqhc) in Las Vegas, Nevada and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through May 2, 2028 and lists Tina A Alicea, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083327456
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSAFE HARBOR MEDICAL, INC.
Location Address2901 N TENAYA WAY STE 100Las Vegas, NV 89128-1404
Mailing Address2901 N Tenaya Way Ste 100Las Vegas, NV 89128-1404 · (702) 870-8852 · Fax (702) 870-8914
Phone(702) 870-8852
Fax(702) 870-8914
Organization SubpartNo
Authorized OfficialTina A AliceaCeo · (702) 870-8852
Enumeration DateJanuary 2, 2023
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1083327456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
2901 N TENAYA WAY STE 100, Las Vegas, NV 89128
Open in Google Maps ↗

Other Names 1

Doing Business AsSafe Harbor Medical

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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 29D2259196

Safe Harbor Medical · Las Vegas, NV
Active · expires May 2, 2028
CLIA Number29D2259196
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorRichard S. Teh
Laboratory Phone(702) 870-8852
Laboratory LocationSafe Harbor Medical2901 N Tenaya Way - Ste 100, Las Vegas, NV 89128
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

ALLEN G BOYLE CHW
Community Health Worker
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
RYAN GABRIEL LEAKE MA
Marriage & Family Therapist
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
JOSHUA MICHAEL WELTHA PA-C
Physician Assistant
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
COURTNEY MICHELLE BURKE APRN
Nurse Practitioner (Family)
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
MELISSA BRIZETH LOPEZ PEREZ CHW
Community Health Worker
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
KIMBERLY GOMEZ RUBIO CHW
Community Health Worker
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
DR. GARY MAX DESHAZO DO
Family Medicine
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
SAFE HARBOR MEDICAL, INC.
Family Medicine
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852

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 Safe Harbor Medical, Inc.'s NPI number?

The NPI number for Safe Harbor Medical, Inc. is 1083327456. It was assigned to this organization in the NPPES registry on January 2, 2023. The provider is doing business as Safe Harbor Medical.

Where is Safe Harbor Medical, Inc. located?

Safe Harbor Medical, Inc. is located at 2901 N Tenaya Way Ste 100, Las Vegas, NV 89128. The listed phone number is (702) 870-8852.

What is Safe Harbor Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Safe Harbor Medical, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2259196) is associated with this NPI, valid through May 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Safe Harbor Medical, Inc. accept?

Health plans from Ambetter from Arizona Complete Health list Safe Harbor Medical, Inc. 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 Safe Harbor Medical, Inc. was last updated on March 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.