SAN CARLOS MEDICAL
NPI 1174600845
Family Medicine in Las Vegas, NV

Active since November 01, 2006
2400 W CHARLESTON BLVD, LAS VEGAS, NV 89102(702) 320-7930(702) 320-7932 Get Directions Write a Review

NPPES record last updated: April 25, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About San Carlos Medical NPPES

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

SAN CARLOS MEDICAL (NPI 1174600845) is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since November 2006. The organization lists Carlos R. Anaya, President, as its authorized official.

NPPES Registry Identity

NPI1174600845
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAN CARLOS COMPANY INC.
Location Address2400 W CHARLESTON BLVDLas Vegas, NV 89102-2179
Mailing Address2400 W Charleston BlvdLas Vegas, NV 89102-2179 · (702) 320-7930 · Fax (702) 320-7932
Fax(702) 320-7932
Organization SubpartNo
Authorized OfficialCarlos R. AnayaPresident · (702) 320-7930
Enumeration DateNovember 1, 2006
Last NPPES UpdateApril 25, 2013
✔ NPI 1174600845 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 · 9391
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.
2400 W CHARLESTON BLVD, Las Vegas, NV 89102

Other Names 1

Doing Business AsSan Carlos Medical

Other Identifiers 1

Medicare ID-Type Unspecified1457431439NV · Provider Npi Number

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Carlos Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to San Carlos Medical, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1457431439
3100 W CHARLESTON BLVD STE 104
Las Vegas, NV 89102
(702) 320-7930
✔ PECOS✔ Accepts Medicare0.5 mi

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

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 San Carlos Company Inc.'s NPI number?

The NPI number for San Carlos Company Inc. is 1174600845. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as San Carlos Medical.

Where is San Carlos Company Inc. located?

San Carlos Company Inc. is located at 2400 W Charleston Blvd, Las Vegas, NV 89102. The listed phone number is (702) 320-7930.

What is San Carlos Company Inc.'s specialty?

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

Is San Carlos Company Inc. enrolled in Medicare?

Yes. San Carlos Company Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Carlos Company Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to San Carlos Company Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for San Carlos Company Inc. was last updated on April 25, 2013. 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.