DESERTBLOOM MEDICAL LLC
NPI 1376323550
Clinic/Center in Las Vegas, NV

Active since October 04, 2023
931 S 3RD ST, LAS VEGAS, NV 89101(725) 256-8020 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Desertbloom Medical Llc NPPES

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

DESERTBLOOM MEDICAL LLC (NPI 1376323550) is a healthcare organization registered as a clinic/center in Las Vegas, Nevada and active in the NPI registry since October 2023. The organization lists Asya Hovhannisyan, Owner, as its authorized official.

NPPES Registry Identity

NPI1376323550
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDESERTBLOOM MEDICAL LLC
Location Address931 S 3RD STLas Vegas, NV 89101-6801
Mailing Address931 S 3rd StLas Vegas, NV 89101-6801 · (725) 256-8020
Organization SubpartNo
Authorized OfficialAsya HovhannisyanOwner · (725) 256-8020
Enumeration DateOctober 4, 2023
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1376323550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
931 S 3RD ST, Las Vegas, NV 89101

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Desertbloom Medical LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Obstetrics/Gynecology
NPI 1568640159
2217 PARADISE RD STE A
Las Vegas, NV 89104
(888) 224-0804
✔ PECOS1.1 mi
Nurse Practitioner
NPI 1821425596
1706 W BONANZA RD
Las Vegas, NV 89106
(702) 631-6860
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1912629544
650 N NELLIS BLVD
Las Vegas, NV 89110
(702) 790-8000
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1487159182
8225 W SAHARA AVE STE C
Las Vegas, NV 89117
(702) 326-2340
✔ PECOS✔ Accepts Medicare6.9 mi
Nurse Practitioner
NPI 1518858703
6881 W CHARLESTON BLVD STE A
Las Vegas, NV 89117
(702) 802-8411
✔ PECOS✔ Accepts Medicare7.1 mi
Nurse Practitioner
NPI 1619536844
6240 N DURANGO DR STE 120
Las Vegas, NV 89149
(954) 923-7440
✔ PECOS11 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 Desertbloom Medical LLC's NPI number?

The NPI number for Desertbloom Medical LLC is 1376323550. It was assigned to this organization in the NPPES registry on October 4, 2023.

Where is Desertbloom Medical LLC located?

Desertbloom Medical LLC is located at 931 S 3rd St, Las Vegas, NV 89101. The listed phone number is (725) 256-8020.

What is Desertbloom Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Desertbloom Medical LLC enrolled in Medicare?

Yes. Desertbloom Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Desertbloom Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Desertbloom Medical 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. The largest specialties are Nurse Practitioner (5) and Obstetrics/Gynecology (1). Of these, 5 practice 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 Desertbloom Medical LLC was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.