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BAUZA FAMILY MEDICINE LLC
NPI 1528808292
Nurse Practitioner - Primary Care in Las Vegas, NV

Active since May 29, 2024CLIA 29D2335745 · Waiver
1601 E FLAMINGO RD STE 18, LAS VEGAS, NV 89119(725) 203-5440(725) 204-2524 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bauza Family Medicine Llc NPPES

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

BAUZA FAMILY MEDICINE LLC (NPI 1528808292) is a healthcare organization registered as a primary care in Las Vegas, Nevada and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through December 15, 2027 and lists Luis Angel Rodriguez Bauza, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528808292
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameBAUZA FAMILY MEDICINE LLC
Location Address1601 E FLAMINGO RD STE 18Las Vegas, NV 89119-5244
Mailing Address1601 E Flamingo Rd Ste 18Las Vegas, NV 89119-5244 · (725) 203-5440 · Fax (725) 204-2524
Phone(725) 203-5440
Fax(725) 204-2524
Organization SubpartNo
Authorized OfficialLuis Angel Rodriguez BauzaCeo · (702) 810-0066
Enumeration DateMay 29, 2024
Last NPPES UpdateJune 20, 2025
NPPES CertifiedJune 20, 2025
✔ NPI 1528808292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1601 E FLAMINGO RD STE 18, Las Vegas, NV 89119
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bauza Family Medicine 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 Bauza Family Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mario Jose Valdes Espino, NP-C, FNP
Nurse Practitioner
NPI 1194497735
111 S GIBSON RD APT 11101
Henderson, NV 89012
(702) 540-2259
✔ PECOS✔ Accepts Medicare7.8 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 29D2335745

Bauza Family Medicine LLC · Las Vegas, NV
Active · expires Dec 15, 2027
CLIA Number29D2335745
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorMario Jose Valdes Espino
Laboratory Phone(702) 478-9971
Laboratory LocationBauza Family Medicine LLC1601 E Flamingo Rd Ste 18, Las Vegas, NV 89119
CLIA data matches this NPI record on: Address Name
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 Bauza Family Medicine LLC's NPI number?

The NPI number for Bauza Family Medicine LLC is 1528808292. It was assigned to this organization in the NPPES registry on May 29, 2024.

Where is Bauza Family Medicine LLC located?

Bauza Family Medicine LLC is located at 1601 E Flamingo Rd Ste 18, Las Vegas, NV 89119. The listed phone number is (725) 203-5440.

What is Bauza Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Bauza Family Medicine LLC enrolled in Medicare?

Yes. Bauza Family Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bauza Family Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bauza Family Medicine 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 Bauza Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2335745) is associated with this NPI, valid through December 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bauza Family Medicine LLC accept?

Health plans from Molina Healthcare list Bauza Family Medicine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bauza Family Medicine LLC was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.