DESERT PRIMARY CARE PLLC
NPI 1396454070
Nurse Practitioner - Family in Las Vegas, NV

Active since November 21, 2022CLIA 29D2093382 · Waiver
5233 S EASTERN AVE, LAS VEGAS, NV 89119(702) 878-9500 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2023, Mar 2, 2023, Nov 21, 2022 (3 updates tracked since 2022).

About Desert Primary Care Pllc NPPES

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

DESERT PRIMARY CARE PLLC (NPI 1396454070) is a healthcare organization registered as a family in Las Vegas, Nevada and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Reena John, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1396454070
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDESERT PRIMARY CARE PLLC
Location Address5233 S EASTERN AVELas Vegas, NV 89119-2311
Mailing Address5233 S Eastern AveLas Vegas, NV 89119-2311 · (702) 878-9500 · Fax (702) 878-8993
Organization SubpartNo
Authorized OfficialReena JohnManaging Director · (702) 878-9500
Enumeration DateNovember 21, 2022
Last NPPES UpdateMay 15, 20233 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
NPI 1396454070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedNurse PractitionerTaxonomy 363L00000X
5233 S EASTERN AVE, Las Vegas, NV 89119

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2093382

Desert Primary Care PLLC · Las Vegas, NV
Active · expires Mar 24, 2027
CLIA Number29D2093382
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorReena John
Laboratory Phone(702) 878-9500
Laboratory LocationDesert Primary Care PLLC5233 S Eastern Ave, Las Vegas, NV 89119
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Internal Medicine
5233 S EASTERN AVE
LAS VEGAS, NV 89119
Nurse Practitioner
5233 S EASTERN AVE
LAS VEGAS, NV 89119
Nurse Practitioner (Family)
5233 S EASTERN AVE
LAS VEGAS, NV 89119

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 Desert Primary Care PLLC's NPI number?

The NPI number for Desert Primary Care PLLC is 1396454070. It was assigned to this organization in the NPPES registry on November 21, 2022.

Where is Desert Primary Care PLLC located?

Desert Primary Care PLLC is located at 5233 S Eastern Ave, Las Vegas, NV 89119. The listed phone number is (702) 878-9500.

What is Desert Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Desert Primary Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2093382) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Desert Primary Care PLLC was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.