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PRIMARY CARE OF NEVADA LLC
NPI 1598459885
Family Medicine in Las Vegas, NV

Active since June 08, 2023CLIA 29D2294113 · Waiver
601 S 10TH ST # 101, LAS VEGAS, NV 89101(702) 823-5400(702) 825-8584 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 19, 2025, Jun 14, 2025, Jun 8, 2023 (3 updates tracked since 2023).

About Primary Care Of Nevada Llc NPPES

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

PRIMARY CARE OF NEVADA LLC (NPI 1598459885) is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through November 17, 2027 and lists Phung Jefferson, Coo, as its authorized official.

NPPES Registry Identity

NPI1598459885
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMARY CARE OF NEVADA LLC
Location Address601 S 10TH ST # 101Las Vegas, NV 89101-7027
Mailing Address601 S 10th St # 101Las Vegas, NV 89101-7027 · (702) 823-5400
Phone(702) 823-5400
Fax(702) 825-8584
Organization SubpartNo
Authorized OfficialPhung JeffersonCoo · (702) 823-5400
Enumeration DateJune 8, 2023
Last NPPES UpdateJune 19, 20253 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1598459885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
601 S 10TH ST # 101, Las Vegas, NV 89101
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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 Ambetter from Arizona Complete Health.Insurance ›

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 29D2294113

Primary Care Of Nevada · Las Vegas, NV
Active · expires Nov 17, 2027
CLIA Number29D2294113
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorAlan B Jauregui
Laboratory Phone(702) 823-5400
Laboratory LocationPrimary Care Of Nevada601 S 10th St Ste 101, Las Vegas, NV 89101
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ALMA BAUTISTA MANLANGIT R.N , APRN FNP-C
Nurse Practitioner (Family)
601 S 10TH ST # 101
LAS VEGAS, NV 89101
Clark County (702) 823-5400

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 Primary Care Of Nevada LLC's NPI number?

The NPI number for Primary Care Of Nevada LLC is 1598459885. It was assigned to this organization in the NPPES registry on June 8, 2023.

Where is Primary Care Of Nevada LLC located?

Primary Care Of Nevada LLC is located at 601 S 10th St # 101, Las Vegas, NV 89101. The listed phone number is (702) 823-5400.

What is Primary Care Of Nevada LLC's specialty?

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

Does Primary Care Of Nevada LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2294113) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primary Care Of Nevada LLC accept?

Health plans from Ambetter from Arizona Complete Health list Primary Care Of Nevada 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 Primary Care Of Nevada LLC was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.