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EAST CHARELSTON PAIN CLINIC AND MEDICAL CENTER
NPI 1649512880
Family Medicine in Las Vegas, NV

Active since March 26, 2013
1721 E CHARLESTON BLVD, LAS VEGAS, NV 89104(702) 515-9680 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Charelston Pain Clinic And Medical Center NPPES

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

EAST CHARELSTON PAIN CLINIC AND MEDICAL CENTER (NPI 1649512880) is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since March 2013. The organization lists Festus Ebonka, President, as its authorized official.

NPPES Registry Identity

NPI1649512880
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEAST CHARELSTON PAIN CLINIC AND MEDICAL CENTER
Location Address1721 E CHARLESTON BLVDLas Vegas, NV 89104-1902
Mailing Address1721 E Charleston BlvdLas Vegas, NV 89104-1902
Phone(702) 515-9680
Organization SubpartYesParent: Ebonny Ventures Inc
Authorized OfficialFestus EbonkaPresident · (702) 515-9680
Enumeration DateMarch 26, 2013
✔ NPI 1649512880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
1721 E CHARLESTON BLVD, Las Vegas, NV 89104
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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

Other Providers at the Same Location NPPES 20

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

OZOMOR LLC
Clinic/Center (Primary Care)
1721 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 515-9680
EBONNY VENTURES LLC
Psychiatry & Neurology (Psychiatry)
1721 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 515-9680
VEGAS INNOVATIVE PSYCHIATRY
Clinic/Center (Multi-Specialty)
1721 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 685-0620
LAURA E GRIFFIN QMHA
Counselor (Professional)
1721 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 685-0620
MELISA STEPHENS
Community Health Worker
1721 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 685-0620
NEVADA INTEGRATED BEHAVIORAL SERVICES INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
1721 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County No phone listed
JOHN NDUBUISI UDO FNP, APRN
Nurse Practitioner (Family)
1721 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 685-0620
ADELA NEDZWECKAS A.A, B.A
Community Health Worker
1721 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 685-0620

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 East Charelston Pain Clinic And Medical Center's NPI number?

The NPI number for East Charelston Pain Clinic And Medical Center is 1649512880. It was assigned to this organization in the NPPES registry on March 26, 2013.

Where is East Charelston Pain Clinic And Medical Center located?

East Charelston Pain Clinic And Medical Center is located at 1721 E Charleston Blvd, Las Vegas, NV 89104. The listed phone number is (702) 515-9680.

What is East Charelston Pain Clinic And Medical Center'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 East Charelston Pain Clinic And Medical Center was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.