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SOUTHWEST MEDICAL
NPI 1790329407
Internal Medicine in Las Vegas, NV

Active since November 05, 2019CLIA Certified · 6 labs
2704 N TENAYA WAY, LAS VEGAS, NV 89128(702) 877-5199 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Oct 6, 2023, Aug 9, 2023, Jul 25, 2023 and 1 more (4 updates tracked since 2019).

About Southwest Medical NPPES

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

SOUTHWEST MEDICAL (NPI 1790329407) is a healthcare organization registered as an internal medicine in Las Vegas, Nevada and active in the NPI registry since November 2019. The organization holds 6 active CLIA laboratory certificates and lists Emily Castillo, Medical Staff Supervisor, as its authorized official.

NPPES Registry Identity

NPI1790329407
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOPTUM MEDICAL GROUP II RHODES P C
Location Address2704 N TENAYA WAYLas Vegas, NV 89128-0424
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3253
Phone(702) 877-5199
Organization SubpartNo
Authorized OfficialEmily CastilloMedical Staff Supervisor · (702) 480-2550
Enumeration DateNovember 5, 2019
Last NPPES UpdateOctober 6, 20234 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1790329407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2704 N TENAYA WAY, Las Vegas, NV 89128
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Other Names 1

Doing Business AsSouthwest Medical

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 6

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 29D2102763

Southwest Medical Associates-W Tropicana · Las Vegas, NV
Active · expires Sep 28, 2027
CLIA Number29D2102763
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorJohn C. Rhodes
Laboratory Phone(702) 251-3650
Laboratory LocationSouthwest Medical Associates-W Tropicana4835 S Durango Dr, Las Vegas, NV 89147
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 29D1096328

Southwest Medical Associates-Montecito · Las Vegas, NV
Active · expires Jul 16, 2027
CLIA Number29D1096328
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorOri Devera
Laboratory Phone(702) 750-3929
Laboratory LocationSouthwest Medical Associates-Montecito7061 Grand Montecito Pkwy, Las Vegas, NV 89149
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 29D2087546

Southwest Medical Associates-420 Nellis · Las Vegas, NV
Active · expires Apr 16, 2027
CLIA Number29D2087546
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorJohn C. Rhodes
Laboratory Phone(702) 641-3212
Laboratory LocationSouthwest Medical Associates-420 Nellis420 N Nellis Blvd Ste A 6, Las Vegas, NV 89110
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 29D0539151

Southwest Medical Associates-S Eastern · Las Vegas, NV
Active · expires Mar 26, 2027
CLIA Number29D0539151
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorYoung Cho
Laboratory Phone(702) 669-5843
Laboratory LocationSouthwest Medical Associates-S Eastern4475 S Eastern Ave, Las Vegas, NV 89119
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 29D2087314

Southwest Medical Associates-540 Nellis · Las Vegas, NV
Active · expires Nov 19, 2026
CLIA Number29D2087314
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2024
Certificate Expiration DateNovember 19, 2026
Laboratory DirectorJohn Rhodes
Laboratory Phone(702) 677-3615
Laboratory LocationSouthwest Medical Associates-540 Nellis540 N Nellis Blvd, Las Vegas, NV 89110
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2086063

Southwest Medical Association-Summerlin · Las Vegas, NV
Active · expires Oct 26, 2026
CLIA Number29D2086063
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorJohn C. Rhodes
Laboratory Phone(702) 632-5623
Laboratory LocationSouthwest Medical Association-Summerlin10105 Banburry Cross Dr Ste 150, Las Vegas, NV 89144
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

PATRICIA MAY B. LACSINA M.D.
Family Medicine
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 877-5199
MONTE WILSON
Physician Assistant
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 243-8500
DANIELLE RAE DELUCIA APRN-CNP
Nurse Practitioner
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 877-5199
BLAIR KAICHEN DUDDY MD
Pediatrics
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 243-8500
DR. MOAYAD ISMAIL M.D.
Internal Medicine
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 877-5199
DANIELLE J RUSSELL NP
Nurse Practitioner (Family)
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 877-5199
TRICIA L SELLERS MD
Pediatrics
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 877-8600
AUSTIN TROY LEAVITT
Family Medicine
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 877-5199

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 Optum Medical Group II Rhodes P C's NPI number?

The NPI number for Optum Medical Group II Rhodes P C is 1790329407. It was assigned to this organization in the NPPES registry on November 5, 2019. The provider is doing business as Southwest Medical.

Where is Optum Medical Group II Rhodes P C located?

Optum Medical Group II Rhodes P C is located at 2704 N Tenaya Way, Las Vegas, NV 89128. The listed phone number is (702) 877-5199.

What is Optum Medical Group II Rhodes P C's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Optum Medical Group II Rhodes P C hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Optum Medical Group II Rhodes P C was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.