IMAJ SKIN & WELLNESS CENTER LLC
NPI 1194319517
Family Medicine in Las Vegas, NV

Q: What is Imaj Skin & Wellness Center LLC's NPI number?

The NPI number for Imaj Skin & Wellness Center LLC is 1194319517. It was assigned to this organization in the NPPES registry on February 25, 2021.

Q: What is Imaj Skin & Wellness Center LLC's specialty?

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

Active since February 25, 2021

10161 PARK RUN DR STE 150, LAS VEGAS, NV 89145(408) 833-3158 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 21, 2025, Mar 10, 2023, Feb 25, 2021 (3 updates tracked since 2021).

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About Imaj Skin & Wellness Center Llc NPPES

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

IMAJ SKIN & WELLNESS CENTER LLC (NPI 1194319517) is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since February 2021. The organization lists Cherry M Lee, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194319517

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameIMAJ SKIN & WELLNESS CENTER LLC

Location Address10161 PARK RUN DR STE 150Las Vegas, NV 89145-8872

Mailing Address10161 Park Run Dr Ste 150Las Vegas, NV 89145-8872

Phone(408) 833-3158

Organization SubpartNo

Authorized OfficialCherry M LeeCeo · (702) 782-8941

Enumeration DateFebruary 25, 2021

Last NPPES UpdateAugust 19, 20253 updates tracked since enumeration

NPPES CertifiedAugust 19, 2025

✔ NPI 1194319517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

10161 PARK RUN DR STE 150, Las Vegas, NV 89145

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Imaj Skin & Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Imaj Skin & Wellness Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Cherry Lee, NP

Nurse Practitioner

NPI 1487906673

10161 PARK RUN DR SUITE 150
Las Vegas, NV 89145

(408) 833-3158

✔ PECOS✔ Accepts MedicareSame address

Joanne Agregado, MSN, APRN, FNP-BC

Nurse Practitioner

NPI 1700582178

6070 S FORT APACHE RD STE 100
Las Vegas, NV 89148

(702) 803-5534

✔ PECOS✔ Accepts Medicare5.9 mi

Faith Santos, NP

Nurse Practitioner

NPI 1013608371

801 S RANCHO DR STE A2
Las Vegas, NV 89106

(702) 483-3630

✔ PECOS7.9 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 Imaj Skin & Wellness Center LLC's NPI number?

The NPI number for Imaj Skin & Wellness Center LLC is 1194319517. It was assigned to this organization in the NPPES registry on February 25, 2021.

Where is Imaj Skin & Wellness Center LLC located?

Imaj Skin & Wellness Center LLC is located at 10161 Park Run Dr Ste 150, Las Vegas, NV 89145. The listed phone number is (408) 833-3158.

What is Imaj Skin & Wellness Center LLC's specialty?

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

Is Imaj Skin & Wellness Center LLC enrolled in Medicare?

Yes. Imaj Skin & Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Imaj Skin & Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Imaj Skin & Wellness Center LLC. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Imaj Skin & Wellness Center LLC was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.