OPTIMA HEALTHCARE
NPI 1790450104
Nurse Practitioner in Las Vegas, NV

Q: What is Medicotek Inc's NPI number?

The NPI number for Medicotek Inc is 1790450104. It was assigned to this organization in the NPPES registry on August 9, 2021. The provider is doing business as Optima Healthcare.

Q: What is Medicotek Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Medicotek Inc was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 09, 2021

6859 S EASTERN AVE STE 103, LAS VEGAS, NV 89119(702) 778-4838 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2021, Sep 22, 2021, Aug 9, 2021 (3 updates tracked since 2021).

On this page

About Optima Healthcare NPPES

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

OPTIMA HEALTHCARE (NPI 1790450104) is a healthcare organization registered as a nurse practitioner in Las Vegas, Nevada and active in the NPI registry since August 2021. The organization lists Marivic Luna Banal, Director, as its authorized official.

NPPES Registry Identity

NPI1790450104

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMEDICOTEK INC

Location Address6859 S EASTERN AVE STE 103Las Vegas, NV 89119-0003

Mailing Address6859 S Eastern Ave Ste 103Las Vegas, NV 89119-0003

Phone(702) 778-4838

Organization SubpartYes

Authorized OfficialMarivic Luna BanalDirector · (702) 778-4838

Enumeration DateAugust 9, 2021

Last NPPES UpdateOctober 27, 20213 updates tracked since enumeration

NPPES CertifiedOctober 27, 2021

✔ NPI 1790450104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X

6859 S EASTERN AVE STE 103, Las Vegas, NV 89119

Open in Google Maps ↗

Other Names 1

Doing Business AsOptima Healthcare

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 5

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

HIGIA LLC

Nurse Practitioner (Family)