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FAITH MEDICAL CLINIC, LLC.
NPI 1700485083
Family Medicine in Las Vegas, NV

Active since October 19, 2020
3510 E TROPICANA AVE STE K, LAS VEGAS, NV 89121(702) 466-0069(702) 433-1815 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Faith Medical Clinic, Llc. NPPES

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

FAITH MEDICAL CLINIC, LLC. (NPI 1700485083) is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since October 2020. The organization lists Daniel Moncada, Manager, as its authorized official.

NPPES Registry Identity

NPI1700485083
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAITH MEDICAL CLINIC, LLC.
Location Address3510 E TROPICANA AVE STE KLas Vegas, NV 89121-7341
Mailing Address3510 E Tropicana Ave Ste KLas Vegas, NV 89121-7341 · (702) 466-0069 · Fax (702) 433-1815
Phone(702) 466-0069
Fax(702) 433-1815
Organization SubpartNo
Authorized OfficialDaniel MoncadaManager · (702) 902-3039
Enumeration DateOctober 19, 2020
NPPES CertifiedOctober 19, 2020
✔ NPI 1700485083 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.
3510 E TROPICANA AVE STE K, Las Vegas, NV 89121
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Faith Medical Clinic, Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Faith Medical Clinic, LLC., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Pamela Winn, APRN
Nurse Practitioner
NPI 1235584772
1661 E FLAMINGO RD STE 5A
Las Vegas, NV 89119
(702) 304-2144
✔ PECOS✔ Accepts Medicare2.0 mi
Jhouleen Angelika Tiamzon
Nurse Practitioner
NPI 1306451471
1294 S JONES BLVD
Las Vegas, NV 89146
(702) 877-1887
✔ PECOS✔ Accepts Medicare8.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Faith Medical Clinic, LLC.'s NPI number?

The NPI number for Faith Medical Clinic, LLC. is 1700485083. It was assigned to this organization in the NPPES registry on October 19, 2020.

Where is Faith Medical Clinic, LLC. located?

Faith Medical Clinic, LLC. is located at 3510 E Tropicana Ave Ste K, Las Vegas, NV 89121. The listed phone number is (702) 466-0069.

What is Faith Medical Clinic, LLC.'s specialty?

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

Is Faith Medical Clinic, LLC. enrolled in Medicare?

Yes. Faith Medical Clinic, LLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Faith Medical Clinic, LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Faith Medical Clinic, LLC.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Faith Medical Clinic, LLC. was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.