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NORTHEAST LAS VEGAS VA CBOC
NPI 1821374067
Clinic/Center - VA in Las Vegas, NV

Active since November 02, 2011
4461 E CHARLESTON BLVD, LAS VEGAS, NV 89104(702) 341-3020 Get Directions Write a Review

NPPES record last updated: October 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northeast Las Vegas Va Cboc NPPES

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

NORTHEAST LAS VEGAS VA CBOC (NPI 1821374067) is a healthcare organization registered as a va in Las Vegas, Nevada and active in the NPI registry since November 2011. The organization lists Erin Potter, Ebilling Project Manager, as its authorized official.

NPPES Registry Identity

NPI1821374067
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameLAS VEGAS VAMC
Location Address4461 E CHARLESTON BLVDLas Vegas, NV 89104-5537
Mailing AddressPo Box 94408Cleveland, OH 44101-4408 · (702) 341-3020
Phone(702) 341-3020
Organization SubpartNo
Authorized OfficialErin PotterEbilling Project Manager · (202) 382-2579
Enumeration DateNovember 2, 2011
Last NPPES UpdateOctober 31, 2017
✔ NPI 1821374067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
4461 E CHARLESTON BLVD, Las Vegas, NV 89104
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Other Names 1

Other NameNortheast Las Vegas Va Cboc

Other Providers at the Same Location NPPES 9

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

GINA BENJAMIN LOLOFIE
Registered Nurse
4461 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 791-9000
DR. DAX VELORIA DO
Family Medicine
4461 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 791-9000
MS. ELIZABETH RITA BONUCK LCSW
Social Worker (Clinical)
4461 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 291-9050
DANA LEE LCSW
Social Worker (Clinical)
4461 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 791-9000
DARA VILLANUEVA RN
Registered Nurse
4461 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 791-9050
MRS. LAUREN YAFFE LCSW
Social Worker (Clinical)
4461 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 791-9024
VICTOR KEN TANG PHARMD
Pharmacist
4461 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 791-9050
DR. TYLER SCANDALIS DAWSON DO
Family Medicine
4461 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 791-9050

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 Las Vegas Vamc's NPI number?

The NPI number for Las Vegas Vamc is 1821374067. It was assigned to this organization in the NPPES registry on November 2, 2011. The provider is also known as Northeast Las Vegas VA Cboc.

Where is Las Vegas Vamc located?

Las Vegas Vamc is located at 4461 E Charleston Blvd, Las Vegas, NV 89104. The listed phone number is (702) 341-3020.

What is Las Vegas Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Las Vegas Vamc was last updated on October 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.