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PROFORMA MEDICAL SOURC
NPI 1962429621
Durable Medical Equipment & Medical Supplies in Las Vegas, NV

Active since July 17, 2006
800 N RAINBOW BLVD, STE 215, LAS VEGAS, NV 89107(800) 875-8455(702) 948-7616 Get Directions Write a Review

NPPES record last updated: August 1, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Proforma Medical Sourc NPPES

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

PROFORMA MEDICAL SOURC (NPI 1962429621) is a healthcare organization registered as a durable medical equipment & medical supplies in Las Vegas, Nevada and active in the NPI registry since July 2006. The organization lists Marie Villanueva, Vice President, as its authorized official.

NPPES Registry Identity

NPI1962429621
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePROFORMA MEDICAL SOURC
Location Address800 N RAINBOW BLVD, STE 215Las Vegas, NV 89107-1189
Mailing Address800 N Rainbow Blvd, Ste 215Las Vegas, NV 89107-1189 · (800) 875-8455 · Fax (702) 948-7616
Phone(800) 875-8455
Fax(702) 948-7616
Organization SubpartNo
Authorized OfficialMarie VillanuevaVice President · (800) 875-8455
Enumeration DateJuly 17, 2006
Last NPPES UpdateAugust 1, 2008
✔ NPI 1962429621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

800 N RAINBOW BLVD, Las Vegas, NV 89107
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Other Identifiers 1

Medicare NSC5345560001NV

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.

JAY B VILLANUEVA
Home Health Aide
800 N RAINBOW BLVD, STE 215
LAS VEGAS, NV 89107
Clark County (800) 875-8455
MR. EDWARD CREENCIA CRUZADO
Durable Medical Equipment & Medical Supplies
800 N RAINBOW BLVD, SUITE 204
LAS VEGAS, NV 89107
Clark County (702) 948-5187
DR. CAROLYN PRICE MD
General Practice
800 N RAINBOW BLVD, SUITE #208
LAS VEGAS, NV 89107
Clark County (702) 255-4325
TEBECCA R SMITH
Rehabilitation Practitioner
800 N RAINBOW BLVD, STE 200
LAS VEGAS, NV 89107
Clark County (702) 642-3355
IMERYBEL SISON FERNANDEZ
Rehabilitation Practitioner
800 N RAINBOW BLVD, STE 200
LAS VEGAS, NV 89107
Clark County (702) 642-3355
TINIKA L MCTHOMAS
Rehabilitation Practitioner
800 N RAINBOW BLVD, STE 200
LAS VEGAS, NV 89107
Clark County (702) 642-3355
DR. CORTNEY SODERLIND WARREN PH.D.
Psychologist
800 N RAINBOW BLVD, SUITE 170
LAS VEGAS, NV 89107
Clark County (702) 410-8920
DR. MARCELLO MARTINEZ MD
Family Medicine
800 N RAINBOW BLVD
LAS VEGAS, NV 89107
Clark County (954) 610-3009

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 Proforma Medical Sourc's NPI number?

The NPI number for Proforma Medical Sourc is 1962429621. It was assigned to this organization in the NPPES registry on July 17, 2006.

Where is Proforma Medical Sourc located?

Proforma Medical Sourc is located at 800 N Rainbow Blvd Ste 215, Las Vegas, NV 89107. The listed phone number is (800) 875-8455.

What is Proforma Medical Sourc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Proforma Medical Sourc was last updated on August 1, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.