Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

1ST CLARK COUNTY MEDICAL CLINIC LLC
NPI 1154022523
General Practice in Las Vegas, NV

Q: What is 1st Clark County Medical Clinic LLC's NPI number?

The NPI number for 1st Clark County Medical Clinic LLC is 1154022523. It was assigned to this organization in the NPPES registry on March 13, 2023.

Q: What is 1st Clark County Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since March 13, 2023

4570 S EASTERN AVE STE 26, LAS VEGAS, NV 89119(702) 476-3345(702) 920-8596 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 30, 2026, Mar 4, 2026, Mar 13, 2023 (3 updates tracked since 2023).

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About 1st Clark County Medical Clinic Llc NPPES

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

1ST CLARK COUNTY MEDICAL CLINIC LLC (NPI 1154022523) is a healthcare organization registered as a general practice in Las Vegas, Nevada and active in the NPI registry since March 2023. The organization lists Grezilda Mae Cabo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154022523

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business Name1ST CLARK COUNTY MEDICAL CLINIC LLC

Location Address4570 S EASTERN AVE STE 26Las Vegas, NV 89119-6183

Mailing Address4570 S Eastern Ave Ste 26Las Vegas, NV 89119-6183 · (702) 445-1196 · Fax (702) 920-8596

Phone(702) 476-3345

Fax(702) 920-8596

Organization SubpartNo

Authorized OfficialGrezilda Mae CaboCeo · (702) 445-1196

Enumeration DateMarch 13, 2023

Last NPPES UpdateSeptember 30, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2026

✔ NPI 1154022523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X

4570 S EASTERN AVE STE 26, Las Vegas, NV 89119

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Other Providers at the Same Location NPPES

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

DORIS SUYAPA GONZALEZ

Behavior Analyst

4570 S EASTERN AVE STE 26
LAS VEGAS, NV 89119

Clark County (702) 208-8718

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 1st Clark County Medical Clinic LLC's NPI number?

The NPI number for 1st Clark County Medical Clinic LLC is 1154022523. It was assigned to this organization in the NPPES registry on March 13, 2023.

Where is 1st Clark County Medical Clinic LLC located?

1st Clark County Medical Clinic LLC is located at 4570 S Eastern Ave Ste 26, Las Vegas, NV 89119. The listed phone number is (702) 476-3345.

What is 1st Clark County Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for 1st Clark County Medical Clinic LLC was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.