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: July 19, 2026.

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

  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 29D2294113
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 11-17-2027

About PRIMARY CARE OF NEVADA LLC

This page provides the complete NPI Profile along with additional information for Primary Care Of Nevada Llc, a primary care provider established in Las Vegas, Nevada operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1598459885 assigned on June 2023. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Primary Care Of Nevada Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Phung Jefferson (Coo)

NPI
1598459885 Verify this NPI
Provider Name
PRIMARY CARE OF NEVADA LLC
Entity Type
Organization
Location Address
601 S 10TH ST # 101 LAS VEGAS, NV 89101
Location Phone
(702) 823-5400
Location Fax
(702) 825-8584
Mailing Address
601 S 10TH ST # 101 LAS VEGAS, NV 89101
Mailing Phone
(702) 823-5400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2023
Last Update Date
06-19-2025
Code Navigator

A primary care provider (PCP) like Primary Care Of Nevada Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PHUNG JEFFERSON

Authorized Official Title
COO
Authorized Official Phone
(702) 823-5400

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
29D2294113
Facility Type
Community Clinic
Certificate Effective Date
November 18, 2025
Certificate Expiration Date
November 17, 2027
Laboratory Director
ALAN B JAUREGUI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Primary Care Of Nevada Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PRIMARY CARE OF NEVADA LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
601 S 10TH ST # 101
LAS VEGAS, NV 89101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598459885, enumerated as an "organization" on June 08, 2023.

The provider is located at 601 S 10TH ST # 101 LAS VEGAS, NV 89101 and the phone number is (702) 823-5400.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health. Please consult your insurance carrier or call the provider to verify.