MEDICAL CENTER VEGAS LLC
NPI 1407715329
Psychiatry & Neurology - Psychiatry in Las Vegas, NV

Active since January 16, 2026
612 S JONES BLVD STE 106, LAS VEGAS, NV 89107(702) 806-8755 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Medical Center Vegas Llc NPPES

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

MEDICAL CENTER VEGAS LLC (NPI 1407715329) is a healthcare organization registered as a psychiatry in Las Vegas, Nevada and active in the NPI registry since January 2026. The organization lists Lisset Fernandez Astorga, Manager, as its authorized official.

NPPES Registry Identity

NPI1407715329
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameMEDICAL CENTER VEGAS LLC
Location Address612 S JONES BLVD STE 106Las Vegas, NV 89107-3613
Mailing Address612 S Jones Blvd Ste 106Las Vegas, NV 89107-3613
Organization SubpartNo
Authorized OfficialLisset Fernandez AstorgaManager · (702) 665-2327
Enumeration DateJanuary 16, 2026
NPPES CertifiedJanuary 16, 2026
✔ NPI 1407715329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedInternal MedicineTaxonomy 207R00000X
612 S JONES BLVD STE 106, Las Vegas, NV 89107

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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Medical Center Vegas LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1336659903
2619 W CHARLESTON BLVD STE A
Las Vegas, NV 89102
(702) 559-6509
✔ PECOS2.7 mi
Internal Medicine
NPI 1356551873
2465 REYNOLDS AVE STE 101
North Las Vegas, NV 89030
(702) 476-9600
✔ PECOS✔ Accepts Medicare6.2 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 Medical Center Vegas LLC's NPI number?

The NPI number for Medical Center Vegas LLC is 1407715329. It was assigned to this organization in the NPPES registry on January 16, 2026.

Where is Medical Center Vegas LLC located?

Medical Center Vegas LLC is located at 612 S Jones Blvd Ste 106, Las Vegas, NV 89107. The listed phone number is (702) 806-8755.

What is Medical Center Vegas LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Medical Center Vegas LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Medical Center Vegas LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Medical Center Vegas LLC, in Internal Medicine and Nurse Practitioner. 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, 2 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 Medical Center Vegas LLC was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.