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FAMILY TREE MEDICAL CENTER LLC
NPI 1508870445
Family Medicine in Las Vegas, NV

Active since July 28, 2006CLIA 29D0998860 · Waiver
3510 E TROPICANA AVE, STE # K, LAS VEGAS, NV 89121(702) 947-1000(702) 947-1001 Get Directions Write a Review

NPPES record last updated: April 30, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Family Tree Medical Center Llc NPPES

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

FAMILY TREE MEDICAL CENTER LLC (NPI 1508870445) is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 17, 2028 and lists Tony Gumina, Owner, as its authorized official.

NPPES Registry Identity

NPI1508870445
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY TREE MEDICAL CENTER LLC
Location Address3510 E TROPICANA AVE, STE # KLas Vegas, NV 89121-7341
Mailing AddressPo Box 231930Las Vegas, NV 89105-1930 · (702) 947-1000 · Fax (702) 947-1001
Phone(702) 947-1000
Fax(702) 947-1001
Organization SubpartNo
Authorized OfficialTony GuminaOwner · (702) 947-1000
Enumeration DateJuly 28, 2006
Last NPPES UpdateApril 30, 2013
✔ NPI 1508870445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NV · 9897
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3510 E TROPICANA AVE, Las Vegas, NV 89121
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Other Identifiers 3

Medicare UPINH49028NV
Medicaid002018528NV
Medicare ID-Type UnspecifiedV38433NV

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 SINGLE 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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Family Tree Medical Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Antonio Gumina, M.D.
Family Practice
NPI 1245292440
2510 WIGWAM PKWY STE# 104
Henderson, NV 89074
(702) 947-1000
✔ PECOS✔ Accepts Medicare4.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 29D0998860

Family Tree Medical Center · Las Vegas, NV
Active · expires May 17, 2028
CLIA Number29D0998860
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorAntonino Gumina
Laboratory Phone(702) 947-1000
Laboratory LocationFamily Tree Medical Center3510 E Tropicana Ave Ste L, Las Vegas, NV 89121
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Family Tree Medical Center LLC's NPI number?

The NPI number for Family Tree Medical Center LLC is 1508870445. It was assigned to this organization in the NPPES registry on July 28, 2006.

Where is Family Tree Medical Center LLC located?

Family Tree Medical Center LLC is located at 3510 E Tropicana Ave Ste # K, Las Vegas, NV 89121. The listed phone number is (702) 947-1000.

What is Family Tree Medical Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Family Tree Medical Center LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Family Tree Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Family Tree Medical Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Tree Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D0998860) is associated with this NPI, valid through May 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Tree Medical Center LLC was last updated on April 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.