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CENTERWELL SENIOR PRIMARY CARE -CIVIC CENTER
NPI 1962281477
Internal Medicine in North Las Vegas, NV

Active since September 25, 2023
1905 CIVIC CENTER DR, NORTH LAS VEGAS, NV 89030(702) 475-8874(888) 481-1462 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Centerwell Senior Primary Care -civic Center NPPES

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

CENTERWELL SENIOR PRIMARY CARE -CIVIC CENTER (NPI 1962281477) is a healthcare organization registered as an internal medicine in North Las Vegas, Nevada and active in the NPI registry since September 2023. The organization lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1962281477
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (NV) PC
Location Address1905 CIVIC CENTER DRNorth Las Vegas, NV 89030-7143
Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120
Phone(702) 475-8874
Fax(888) 481-1462
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateSeptember 25, 2023
Last NPPES UpdateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1962281477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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
1905 CIVIC CENTER DR, North Las Vegas, NV 89030
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Other Names 1

Doing Business AsCenterwell Senior Primary Care -civic Center

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.

SANDRA LIPOVACA M.D.
Pediatrics
1905 CIVIC CENTER DR
NORTH LAS VEGAS, NV 89030
Clark County (702) 877-9514
BIO-MEDICAL APPLICATIONS OF NEVADA, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1905 CIVIC CENTER DR, SUITE 201
NORTH LAS VEGAS, NV 89030
Clark County (702) 214-9516
LAS VEGAS KIDNEY CLINIC INC.
Clinic/Center (Medical Specialty)
1905 CIVIC CENTER DR, STE 201
NORTH LAS VEGAS, NV 89030
Clark County (702) 214-9516
GUADALUPE R DOMINGUEZ PAC
Physician Assistant
1905 CIVIC CENTER DR
NORTH LAS VEGAS, NV 89030
Clark County (702) 877-9514
CANO HEALTH NEVADA PLLC
General Practice
1905 CIVIC CENTER DR
NORTH LAS VEGAS, NV 89030
Clark County (855) 226-6633

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 Centerwell Senior Primary Care (nv) PC's NPI number?

The NPI number for Centerwell Senior Primary Care (nv) PC is 1962281477. It was assigned to this organization in the NPPES registry on September 25, 2023. The provider is doing business as Centerwell Senior Primary Care -Civic Center.

Where is Centerwell Senior Primary Care (nv) PC located?

Centerwell Senior Primary Care (nv) PC is located at 1905 Civic Center Dr, North Las Vegas, NV 89030. The listed phone number is (702) 475-8874.

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

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

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care (nv) PC was last updated on February 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.