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MARK A PEREZ, M.D., LLC
NPI 1083962856
Family Medicine in Las Vegas, NV

Active since August 27, 2012CLIA 29D2046544 · Waiver
4275 BURNHAM AVE, SUITE 235, LAS VEGAS, NV 89119(702) 384-7669(702) 385-7669 Get Directions Write a Review

NPPES record last updated: August 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark A Perez, M.d., Llc NPPES

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

MARK A PEREZ, M.D., LLC (NPI 1083962856) is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through September 5, 2026 and lists Mark A Perez, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1083962856
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARK A PEREZ, M.D., LLC
Location Address4275 BURNHAM AVE, SUITE 235Las Vegas, NV 89119-5488
Mailing Address4275 Burnham Ave, Suite 235Las Vegas, NV 89119-5488 · (702) 384-7669 · Fax (702) 385-7669
Phone(702) 384-7669
Fax(702) 385-7669
Organization SubpartNo
Authorized OfficialMark A PerezMedical Director · (702) 384-7669
Enumeration DateAugust 27, 2012
✔ NPI 1083962856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NV · 14517
Definition
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.
4275 BURNHAM AVE, Las Vegas, NV 89119
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Other Identifiers 4

OtherG00675140CA · Medicare Id
MedicaidG00675140CA
Other14517CA · Nevada License Number
OtherF38101Medicare Upin

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 29D2046544

Mark Perez MD LLC · Las Vegas, NV
Active · expires Sep 5, 2026
CLIA Number29D2046544
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorMark A. Perez
Laboratory Phone(702) 384-7669
Laboratory LocationMark Perez MD LLC4275 Burnham St Ste 210, Las Vegas, NV 89119
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MISS SHEILA ACOSTA MARQUEZ OTR
Occupational Therapist
4275 BURNHAM AVE, STE. 225 DESERT SPRINGS THERAPY CLINIC
LAS VEGAS, NV 89119
Clark County (702) 380-1060
SIKISAM ALI MAGOYAG PC
Internal Medicine
4275 BURNHAM AVE, SUITE 235
LAS VEGAS, NV 89119
Clark County (702) 240-5051
DR. VICTOR YEA-TSE CHOU MD
Family Medicine
4275 BURNHAM AVE, #365
LAS VEGAS, NV 89119
Clark County (702) 731-1105
MR. RAMON ANDAYA LASAO LICENSED P.T.
Physical Therapist
4275 BURNHAM AVE
LAS VEGAS, NV 89119
Clark County (702) 380-1060
RONALD BRYANT PA-C
Physician Assistant (Medical)
4275 BURNHAM AVE, SUITE 220
LAS VEGAS, NV 89119
Clark County (702) 369-0088
TODD RICHARD DUKES D.O.
Family Medicine
4275 BURNHAM AVE, STE. 105
LAS VEGAS, NV 89119
Clark County (702) 734-6363
SNOW MEDICAL CENTER LLC
Family Medicine
4275 BURNHAM AVE, SUITE 235
LAS VEGAS, NV 89119
Clark County (702) 384-7669
MARINA PLON MD
Internal Medicine (Interventional Cardiology)
4275 BURNHAM AVE, SUITE 220
LAS VEGAS, NV 89119
Clark County (702) 734-0808

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 Mark A Perez, M.D., LLC's NPI number?

The NPI number for Mark A Perez, M.D., LLC is 1083962856. It was assigned to this organization in the NPPES registry on August 27, 2012.

Where is Mark A Perez, M.D., LLC located?

Mark A Perez, M.D., LLC is located at 4275 Burnham Ave Suite 235, Las Vegas, NV 89119. The listed phone number is (702) 384-7669.

What is Mark A Perez, M.D., LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mark A Perez, M.D., LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2046544) is associated with this NPI, valid through September 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mark A Perez, M.D., LLC was last updated on August 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.