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SAFE HARBOR MEDICAL, INC.
NPI 1821290115
Family Medicine in Las Vegas, NV

Active since May 31, 2007
2901 N TENAYA WAY STE 100, LAS VEGAS, NV 89128(702) 870-8852(702) 870-8914 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2025, Oct 2, 2024, Apr 23, 2024 and 2 more (5 updates tracked since 2022).

About Safe Harbor Medical, Inc. NPPES

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

SAFE HARBOR MEDICAL, INC. (NPI 1821290115), doing business as Safe Harbor Medical, is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since May 2007. The organization lists Tina A Alicea, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821290115
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAFE HARBOR MEDICAL, INC.
Location Address2901 N TENAYA WAY STE 100Las Vegas, NV 89128-1404
Mailing Address2901 N Tenaya Way Ste 100Las Vegas, NV 89128-1404 · (702) 870-8852 · Fax (702) 870-8914
Phone(702) 870-8852
Fax(702) 870-8914
Organization SubpartNo
Authorized OfficialTina A AliceaCeo · (702) 870-8852
Enumeration DateMay 31, 2007
Last NPPES UpdateSeptember 2, 20255 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
✔ NPI 1821290115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NV · 113458
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.
2901 N TENAYA WAY STE 100, Las Vegas, NV 89128
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Other Names 1

Doing Business AsSafe Harbor Medical

Other Identifiers 9

Medicaid250007806NV
Medicaid2019993NV
OtherNPINV · 1457320004
Medicaid1104478270NV
Medicaid184105523NV
Medicaid1841205523NV
Medicaid100517352NV
Medicaid1619657996NV
OtherNPINV · 1932741048

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 ›

Other Providers at the Same Location NPPES 12

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

ALLEN G BOYLE CHW
Community Health Worker
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
SAFE HARBOR MEDICAL, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
RYAN GABRIEL LEAKE MA
Marriage & Family Therapist
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
JOSHUA MICHAEL WELTHA PA-C
Physician Assistant
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
COURTNEY MICHELLE BURKE APRN
Nurse Practitioner (Family)
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
MELISSA BRIZETH LOPEZ PEREZ CHW
Community Health Worker
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
KIMBERLY GOMEZ RUBIO CHW
Community Health Worker
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852
DR. GARY MAX DESHAZO DO
Family Medicine
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128
Clark County (702) 870-8852

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 Safe Harbor Medical, Inc.'s NPI number?

The NPI number for Safe Harbor Medical, Inc. is 1821290115. It was assigned to this organization in the NPPES registry on May 31, 2007. The provider is doing business as Safe Harbor Medical.

Where is Safe Harbor Medical, Inc. located?

Safe Harbor Medical, Inc. is located at 2901 N Tenaya Way Ste 100, Las Vegas, NV 89128. The listed phone number is (702) 870-8852.

What is Safe Harbor Medical, Inc.'s specialty?

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

What insurance does Safe Harbor Medical, Inc. accept?

Health plans from Ambetter from Arizona Complete Health list Safe Harbor Medical, Inc. 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 Safe Harbor Medical, Inc. was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.