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ANGELES MEDICAL CENTERS LLC
NPI 1609389394
Nurse Practitioner - Family in North Las Vegas, NV

Active since November 16, 2017CLIA 29D2125937 · Waiver
2123 CIVIC CENTER DRIVE, NORTH LAS VEGAS, NV 89030(702) 333-0110(702) 333-0442 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2025, Nov 16, 2017 (2 updates tracked since 2017).

About Angeles Medical Centers Llc NPPES

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

ANGELES MEDICAL CENTERS LLC (NPI 1609389394) is a healthcare organization registered as a family in North Las Vegas, Nevada and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Alejandra Ceja, Administrator, as its authorized official.

NPPES Registry Identity

NPI1609389394
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameANGELES MEDICAL CENTERS LLC
Location Address2123 CIVIC CENTER DRIVENorth Las Vegas, NV 89030
Mailing Address2123 Civic Center DrN Las Vegas, NV 89030-6327 · (702) 333-0110
Phone(702) 333-0110
Fax(702) 333-0442
Organization SubpartNo
Authorized OfficialAlejandra CejaAdministrator · (702) 333-0110
Enumeration DateNovember 16, 2017
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1609389394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NV · APRN002705
2123 CIVIC CENTER DRIVE, North Las Vegas, NV 89030
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

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 29D2125937

Angeles Medical Centers · Las Vegas, NV
Active · expires Feb 14, 2027
CLIA Number29D2125937
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorStephen Andracki
Laboratory Phone(702) 333-0110
Laboratory LocationAngeles Medical Centers840 N Decatur Blvd Ste A, Las Vegas, NV 89107
CLIA data matches this NPI record on: Name Phone
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 Angeles Medical Centers LLC's NPI number?

The NPI number for Angeles Medical Centers LLC is 1609389394. It was assigned to this organization in the NPPES registry on November 16, 2017.

Where is Angeles Medical Centers LLC located?

Angeles Medical Centers LLC is located at 2123 Civic Center Drive, North Las Vegas, NV 89030. The listed phone number is (702) 333-0110.

What is Angeles Medical Centers LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Angeles Medical Centers LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2125937) is associated with this NPI, valid through February 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Angeles Medical Centers LLC was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.