KALEIDOSCOPE COMPREHENSIVE CARE
NPI 1205658671
Family Medicine in Las Vegas, NV

Active since October 28, 2024
4200 W CHARLESTON BLVD, LAS VEGAS, NV 89102(702) 373-5992 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaleidoscope Comprehensive Care NPPES

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

KALEIDOSCOPE COMPREHENSIVE CARE (NPI 1205658671) is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since October 2024. The organization lists Jennifer Samuel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205658671
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKALEIDOSCOPE COMPREHENSIVE CARE
Location Address4200 W CHARLESTON BLVDLas Vegas, NV 89102-1625
Mailing Address4200 W Charleston BlvdLas Vegas, NV 89102-1625 · (702) 373-5992
Organization SubpartNo
Authorized OfficialJennifer SamuelCeo · (702) 373-5992
Enumeration DateOctober 28, 2024
Last NPPES UpdateMarch 6, 2025
NPPES CertifiedMarch 6, 2025
NPI 1205658671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4200 W CHARLESTON BLVD, Las Vegas, NV 89102

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

Other Providers at the Same Location NPPES 4

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

Clinic/Center
4200 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Hospice Care, Community Based
4200 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Community Health Worker
4200 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Community Health Worker
4200 W CHARLESTON BLVD
LAS VEGAS, NV 89102

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 Kaleidoscope Comprehensive Care's NPI number?

The NPI number for Kaleidoscope Comprehensive Care is 1205658671. It was assigned to this organization in the NPPES registry on October 28, 2024.

Where is Kaleidoscope Comprehensive Care located?

Kaleidoscope Comprehensive Care is located at 4200 W Charleston Blvd, Las Vegas, NV 89102. The listed phone number is (702) 373-5992.

What is Kaleidoscope Comprehensive Care's specialty?

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

When was this NPI record last updated?

The NPPES record for Kaleidoscope Comprehensive Care was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.