SUNRISE MEDICAL GROUP, LLC
NPI 1669864930
Clinic/Center - Adult Mental Health in Las Vegas, NV

Active since February 24, 2015
4560 S EASTERN AVE, SUITE B17, LAS VEGAS, NV 89119(832) 554-6595 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sunrise Medical Group, Llc NPPES

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

SUNRISE MEDICAL GROUP, LLC (NPI 1669864930) is a healthcare organization registered as an adult mental health in Las Vegas, Nevada and active in the NPI registry since February 2015. The organization lists Cornell Smith, Administrator, as its authorized official.

NPPES Registry Identity

NPI1669864930
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameSUNRISE MEDICAL GROUP, LLC
Location Address4560 S EASTERN AVE, SUITE B17Las Vegas, NV 89119-6182
Mailing Address4560 S Eastern Ave, Suite B17Las Vegas, NV 89119-6182 · (832) 554-6595
Organization SubpartNo
Authorized OfficialCornell SmithAdministrator · (832) 554-6595
Enumeration DateFebruary 24, 2015
NPI 1669864930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
4560 S EASTERN AVE, Las Vegas, NV 89119

Other Providers at the Same Location NPPES 3

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

Specialist
4560 S EASTERN AVE, STE 18
LAS VEGAS, NV 89119
Dentist (General Practice)
4560 S EASTERN AVE, SUITE B20
LAS VEGAS, NV 89119
Social Worker (Clinical)
4560 S EASTERN AVE, SUITE 13
LAS VEGAS, NV 89119

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 Sunrise Medical Group, LLC's NPI number?

The NPI number for Sunrise Medical Group, LLC is 1669864930. It was assigned to this organization in the NPPES registry on February 24, 2015.

Where is Sunrise Medical Group, LLC located?

Sunrise Medical Group, LLC is located at 4560 S Eastern Ave Suite B17, Las Vegas, NV 89119. The listed phone number is (832) 554-6595.

What is Sunrise Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Sunrise Medical Group, LLC was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.