COMMUNITY OUTREACH MEDICAL CENTER-CCBHC
NPI 1457920068
Community/Behavioral Health in Las Vegas, NV

Active since June 18, 2021
1090 E DESERT INN RD STE 100, LAS VEGAS, NV 89109(702) 657-3873 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 21, 2021, Jun 18, 2021 (2 updates tracked since 2021).

About Community Outreach Medical Center-ccbhc NPPES

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

COMMUNITY OUTREACH MEDICAL CENTER-CCBHC (NPI 1457920068) is a healthcare organization registered as a community/behavioral health in Las Vegas, Nevada and active in the NPI registry since June 2021. The organization lists Kema Ogden, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1457920068
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOMMUNITY OUTREACH MEDICAL CENTER
Location Address1090 E DESERT INN RD STE 100Las Vegas, NV 89109-2803
Mailing Address1090 E Desert Inn Rd Ste 100Las Vegas, NV 89109-2803 · (702) 657-3873
Organization SubpartYes
Authorized OfficialKema OgdenExecutive Director · (702) 657-3873
Enumeration DateJune 18, 2021
Last NPPES UpdateJune 21, 20212 updates tracked since enumeration
NPPES CertifiedJune 21, 2021
✔ NPI 1457920068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1090 E DESERT INN RD STE 100, Las Vegas, NV 89109

Other Names 1

Other NameCommunity Outreach Medical Center-ccbhc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Outreach Medical Center-ccbhc 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 Community Outreach Medical Center-Ccbhc, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1780822866
2080 E FLAMINGO RD STE 302
Las Vegas, NV 89119
(702) 657-3873
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1770373680
2080 E FLAMINGO RD STE 302
Las Vegas, NV 89119
(702) 657-3873
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1790441855
2080 E FLAMINGO RD STE 302
Las Vegas, NV 89119
(702) 657-3873
✔ PECOS✔ Accepts Medicare1.3 mi
Family Practice
NPI 1346311354
2300 W CHARLESTON BLVD SUITE 265
Las Vegas, NV 89102
(702) 877-8629
✔ PECOS2.7 mi
Nurse Practitioner
NPI 1245833151
4750 W OAKEY BLVD
Las Vegas, NV 89102
(702) 877-5199
✔ PECOS✔ Accepts Medicare3.9 mi
Emergency Medicine
NPI 1326224056
14721 WHITECAP BLVD APT 346
Corpus Christi, TX 78418
(310) 406-5189
✔ PECOS✔ Accepts Medicare1,204 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 Community Outreach Medical Center's NPI number?

The NPI number for Community Outreach Medical Center is 1457920068. It was assigned to this organization in the NPPES registry on June 18, 2021. The provider is also known as Community Outreach Medical Center-Ccbhc.

Where is Community Outreach Medical Center located?

Community Outreach Medical Center is located at 1090 E Desert Inn Rd Ste 100, Las Vegas, NV 89109. The listed phone number is (702) 657-3873.

What is Community Outreach Medical Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Community Outreach Medical Center enrolled in Medicare?

Yes. Community Outreach Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Outreach Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Community Outreach Medical Center. 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 (4), Emergency Medicine (1) and Family Practice (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 Community Outreach Medical Center was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.