DR. GARY MAX DESHAZO DO
NPI 1568512101
Family Medicine in Las Vegas, NV

Q: What is Gary Deshazo's NPI number?

The NPI number for Gary Deshazo is 1568512101. It was assigned to this individual provider in the NPPES registry on January 12, 2007. The provider is also known as Gary Max Deshazo D.O..

Q: What is Gary Deshazo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gary Deshazo was last updated on February 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 12, 2007

2901 N TENAYA WAY STE 100, LAS VEGAS, NV 89128(702) 870-8852(702) 870-8914 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Gary Max Deshazo Do NPPES

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

DR. GARY MAX DESHAZO DO (NPI 1568512101) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (380) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1568512101

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. GARY MAX DESHAZOCredential: DO

Location Address2901 N TENAYA WAY STE 100Las Vegas, NV 89128-1404

Mailing Address2901 N Tenaya Way Ste 100Las Vegas, NV 89128-1404 · (702) 870-8852 · Fax (702) 870-8914

Phone(702) 870-8852

Fax(702) 870-8914

Sole ProprietorYes

Enumeration DateJanuary 12, 2007

Last NPPES UpdateFebruary 17, 2022

NPPES CertifiedFebruary 17, 2022

✔ NPI 1568512101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NV · 380

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.

Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 380 (NV)

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X · License 380 (NV)

2901 N TENAYA WAY STE 100, Las Vegas, NV 89128

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Other Names 1

Professional Name (2)Gary Max Deshazo D.o.

Other Identifiers 2

Medicaid002002672NV

OtherCC4619NV · Blue Cross Pin

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

487 services166 patients

Established patient office or other outpatient visit, 20-29 minutes 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

485 services152 patients

Sputum specimen collection 89220

Sputum specimen collection is a non-invasive procedure where you cough up a sample of mucus from your lungs. This mucus, or sputum, is then analyzed in a lab to diagnose lung conditions or infections. It's crucial to provide a good sample to ensure accurate results.

216 services191 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

213 services27 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

128 services27 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

73 services58 patients

Other Providers at the Same Location NPPES 12

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

I.C.A.N. FAMILY SERVICES LLC

Community/Behavioral Health