FREMONT PRIMARY CARE - ENDOCRINOLOGY
NPI 1295712693
Dietitian, Registered - Nutrition, Metabolic in Las Vegas, NV

Active since December 27, 2005
4880 WYNN RD, LAS VEGAS, NV 89103(702) 362-3422(702) 939-8827 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Fremont Primary Care - Endocrinology NPPES

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

FREMONT PRIMARY CARE - ENDOCRINOLOGY (NPI 1295712693) is a healthcare organization registered as a nutrition, metabolic in Las Vegas, Nevada and active in the NPI registry since December 2005. The organization lists Jon Greg Griffin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295712693
Entity TypeOrganization
Primary Taxonomy133VN1006X
Legal Business NameFREMONT PRIMARY CARE - ENDOCRINOLOGY
Location Address4880 WYNN RDLas Vegas, NV 89103-5406
Mailing AddressPo Box 1737Las Vegas, NV 89125-1737 · (702) 671-6800 · Fax (702) 671-6855
Fax(702) 939-8827
Organization SubpartNo
Authorized OfficialJon Greg GriffinCeo · (702) 671-6800
Enumeration DateDecember 27, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1295712693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
4880 WYNN RD, Las Vegas, NV 89103

Other Names 1

Other NameJoslin Diabetes Center Affiliate At Fremont Medical Center

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 MULTIPLE SINGLE SPECIALTY GROUP

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.

Physician Assistant
4880 WYNN RD
LAS VEGAS, NV 89103
Internal Medicine
4880 WYNN RD
LAS VEGAS, NV 89103
Physician Assistant
4880 WYNN RD
LAS VEGAS, NV 89103
Physician Assistant (Medical)
4880 WYNN RD
LAS VEGAS, NV 89103
Clinic/Center (Radiology)
4880 WYNN RD
LAS VEGAS, NV 89103
Internal Medicine
4880 WYNN RD
LAS VEGAS, NV 89103
Nurse Practitioner (Family)
4880 WYNN RD
LAS VEGAS, NV 89103
Physician Assistant
4880 WYNN RD
LAS VEGAS, NV 89103

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 Fremont Primary Care - Endocrinology's NPI number?

The NPI number for Fremont Primary Care - Endocrinology is 1295712693. It was assigned to this organization in the NPPES registry on December 27, 2005. The provider is also known as Joslin Diabetes Center Affiliate at Fremont Medical Center.

Where is Fremont Primary Care - Endocrinology located?

Fremont Primary Care - Endocrinology is located at 4880 Wynn Rd, Las Vegas, NV 89103. The listed phone number is (702) 362-3422.

What is Fremont Primary Care - Endocrinology's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

When was this NPI record last updated?

The NPPES record for Fremont Primary Care - Endocrinology was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.