CENTERWELL SENIOR PRIMARY CARE-TENAYA
NPI 1922751643
Internal Medicine in Las Vegas, NV

Q: What is Centerwell Senior Primary Care (nv) PC's specialty?

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

Active since February 02, 2022CLIA 29D2258624 · Waiver

2601 N TENAYA WAY, LAS VEGAS, NV 89128(702) 240-8155(702) 240-8161 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2022, Feb 2, 2022 (2 updates tracked since 2022).

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About Centerwell Senior Primary Care-tenaya NPPES

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

CENTERWELL SENIOR PRIMARY CARE-TENAYA (NPI 1922751643) is a healthcare organization registered as an internal medicine in Las Vegas, Nevada and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1922751643

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCENTERWELL SENIOR PRIMARY CARE (NV) PC

Location Address2601 N TENAYA WAYLas Vegas, NV 89128-0427

Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120 · Fax (407) 770-0661

Phone(702) 240-8155

Fax(702) 240-8161

Organization SubpartYes

Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120

Enumeration DateFebruary 2, 2022

Last NPPES UpdateFebruary 15, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2024

✔ NPI 1922751643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

2601 N TENAYA WAY, Las Vegas, NV 89128

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Other Names 1

Doing Business AsCenterwell Senior Primary Care-tenaya

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 29D2258624

Centerwell Senior Primary Care-Tenaya · Las Vegas, NV

Active · expires Apr 24, 2028

CLIA Number29D2258624

Laboratory TypePhysician Office

Certificate Effective DateApril 25, 2026

Certificate Expiration DateApril 24, 2028

Laboratory DirectorTracy J Wakefield

Laboratory Phone(702) 240-8155

Laboratory LocationCenterwell Senior Primary Care-Tenaya2601 N Tenaya Way, Las Vegas, NV 89128

CLIA data matches this NPI record on: Address Name Phone

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.

MEDICAL GROUP AT SUN CITY, LLP

Internal Medicine