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

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: August 16, 2026.

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

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.

ALLEN G BOYLE CHW
Community Health Worker
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
SAFE HARBOR MEDICAL, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
RYAN GABRIEL LEAKE MA
Marriage & Family Therapist
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
JOSHUA MICHAEL WELTHA PA-C
Physician Assistant
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
COURTNEY MICHELLE BURKE APRN
Nurse Practitioner (Family)
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
MELISSA BRIZETH LOPEZ PEREZ CHW
Community Health Worker
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
KIMBERLY GOMEZ RUBIO CHW
Community Health Worker
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
SAFE HARBOR MEDICAL, INC.
Family Medicine
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852

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 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..

Where is Gary Deshazo located?

Gary Deshazo practices at 2901 N Tenaya Way Ste 100, Las Vegas, NV 89128. The listed phone number is (702) 870-8852.

What is Gary Deshazo's specialty?

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

When was this NPI record last updated?

The NPPES record for Gary Deshazo was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.