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SAN JUAN MEDICAL CENTER
NPI 1881263309
Nurse Practitioner - Family in Las Vegas, NV

Active since June 19, 2021CLIA 29D2260332 · Waiver
4255 E CHARLESTON BLVD STE F&G, LAS VEGAS, NV 89104(702) 812-9856 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 5, 2021, Jun 19, 2021 (2 updates tracked since 2021).

About San Juan Medical Center NPPES

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

SAN JUAN MEDICAL CENTER (NPI 1881263309) is a healthcare organization registered as a family in Las Vegas, Nevada and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through May 16, 2028 and lists Juan Ramos, Owner, as its authorized official.

NPPES Registry Identity

NPI1881263309
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJXE VENTURES LLC
Location Address4255 E CHARLESTON BLVD STE F&GLas Vegas, NV 89104-6685
Mailing Address377 Castellari DrLas Vegas, NV 89138-4640 · (702) 812-9856
Phone(702) 812-9856
Organization SubpartNo
Authorized OfficialJuan RamosOwner · (702) 812-9856
Enumeration DateJune 19, 2021
Last NPPES UpdateOctober 5, 20212 updates tracked since enumeration
NPPES CertifiedOctober 5, 2021
✔ NPI 1881263309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
4255 E CHARLESTON BLVD STE F&G, Las Vegas, NV 89104
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Other Names 1

Doing Business AsSan Juan Medical Center

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

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 29D2260332

San Juan Medical Center · Las Vegas, NV
Active · expires May 16, 2028
CLIA Number29D2260332
Laboratory TypePhysician Office
Certificate Effective DateMay 17, 2026
Certificate Expiration DateMay 16, 2028
Laboratory DirectorMijung Kim
Laboratory Phone(702) 381-7323
Laboratory LocationSan Juan Medical Center4255 E Charleston Blvd, Ste F & G, Las Vegas, NV 89104
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Jxe Ventures LLC's NPI number?

The NPI number for Jxe Ventures LLC is 1881263309. It was assigned to this organization in the NPPES registry on June 19, 2021. The provider is doing business as San Juan Medical Center.

Where is Jxe Ventures LLC located?

Jxe Ventures LLC is located at 4255 E Charleston Blvd Ste F&g, Las Vegas, NV 89104. The listed phone number is (702) 812-9856.

What is Jxe Ventures LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Jxe Ventures LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2260332) is associated with this NPI, valid through May 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jxe Ventures LLC was last updated on October 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.