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DOYNE MEDICAL CLINIC INC., APC
NPI 1710997291
Nurse Practitioner - Primary Care in Las Vegas, NV

Active since August 08, 2006CLIA 29D0889673 · Waiver
1706 W BONANZA RD, LAS VEGAS, NV 89106(702) 631-6860(702) 631-6864 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2026, Dec 23, 2025, Apr 9, 2025 (3 updates tracked since 2025).

About Doyne Medical Clinic Inc., Apc NPPES

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

DOYNE MEDICAL CLINIC INC., APC (NPI 1710997291), doing business as Doyne Medical Clinic, is a healthcare organization registered as a primary care in Las Vegas, Nevada and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists Mario Oliver Tablante Godoy, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1710997291
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameDOYNE MEDICAL CLINIC INC., APC
Location Address1706 W BONANZA RDLas Vegas, NV 89106-4704
Mailing Address1706 W Bonanza RdLas Vegas, NV 89106-4704 · (702) 631-6860 · Fax (702) 631-6864
Phone(702) 631-6860
Fax(702) 631-6864
Organization SubpartNo
Authorized OfficialMario Oliver Tablante GodoyMedical Director · (702) 631-6860
Enumeration DateAugust 8, 2006
Last NPPES UpdateMarch 9, 20263 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1710997291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1706 W BONANZA RD, Las Vegas, NV 89106
Open in Google Maps ↗

Other Names 1

Doing Business AsDoyne Medical Clinic

Other Identifiers 1

Medicaid002019446NV

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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 29D0889673

Doyne Medical Clinic · Las Vegas, NV
Active · expires Jan 29, 2027
CLIA Number29D0889673
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorPaul M. Mchugh
Laboratory Phone(702) 631-6860
Laboratory LocationDoyne Medical Clinic1706 W Bonanza Rd, Las Vegas, NV 89106
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

ALANAI JOHNSON RN
Registered Nurse
1706 W BONANZA RD
LAS VEGAS, NV 89106
Clark County (702) 631-6860
MR. MARIO OLIVER TABLANTE GODOY APRN NP-C
Nurse Practitioner (Primary Care)
1706 W BONANZA RD
LAS VEGAS, NV 89106
Clark County (702) 631-6860
RYAN CHO PA-C
Physician Assistant
1706 W BONANZA RD
LAS VEGAS, NV 89106
Clark County (702) 631-6860
MAYRA MONTIJO
Nurse Practitioner (Family)
1706 W BONANZA RD
LAS VEGAS, NV 89106
Clark County (702) 631-6860
DMC MEDICAL CLINIC LTD
Nurse Practitioner (Primary Care)
1706 W BONANZA RD
LAS VEGAS, NV 89106
Clark County (702) 631-6863
LILI S LERO FNP
Nurse Practitioner (Family)
1706 W BONANZA RD
LAS VEGAS, NV 89106
Clark County (702) 631-6860

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 Doyne Medical Clinic Inc., Apc's NPI number?

The NPI number for Doyne Medical Clinic Inc., Apc is 1710997291. It was assigned to this organization in the NPPES registry on August 8, 2006. The provider is doing business as Doyne Medical Clinic.

Where is Doyne Medical Clinic Inc., Apc located?

Doyne Medical Clinic Inc., Apc is located at 1706 W Bonanza Rd, Las Vegas, NV 89106. The listed phone number is (702) 631-6860.

What is Doyne Medical Clinic Inc., Apc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Doyne Medical Clinic Inc., Apc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D0889673) is associated with this NPI, valid through January 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Doyne Medical Clinic Inc., Apc accept?

Health plans from Ambetter from Arizona Complete Health list Doyne Medical Clinic Inc., Apc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Doyne Medical Clinic Inc., Apc was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.