ANGELES MEDICAL CENTERS LLC
NPI 1609389394
Nurse Practitioner - Family in North Las Vegas, NV
NPI Status: Active since November 16, 2017
Contact Information
2123 CIVIC CENTER DRIVE
NORTH LAS VEGAS, NV
ZIP 89030
Phone: (702) 333-0110
Fax: (702) 333-0442
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 29D2125937
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-14-2027
About ANGELES MEDICAL CENTERS LLC
This page provides the complete NPI Profile along with additional information for Angeles Medical Centers Llc, a provider established in North Las Vegas, Nevada operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1609389394 assigned on November 2017. The practitioner's primary taxonomy code is 363LF0000X with license number APRN002705 (NV). The provider is registered as an organization and their NPI record was last updated 8 years ago. Angeles Medical Centers Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Rosa Sedo (Billing Agent)
- NPI
- 1609389394
- Provider Name
- ANGELES MEDICAL CENTERS LLC
- Entity Type
- Organization
- Location Address
- 2123 CIVIC CENTER DRIVE NORTH LAS VEGAS, NV 89030
- Location Phone
- (702) 333-0110
- Location Fax
- (702) 333-0442
- Mailing Address
- 840 N DECATUR BLVD STE A LAS VEGAS, NV 89107
- Mailing Phone
- (702) 333-0110
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-16-2017
- Last Update Date
- 02-02-2018
- Code Navigator
A nurse practitioner (NP) like Angeles Medical Centers Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- APRN002705
- License State
- NV
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 29D2125937
- Facility Type
- Physician Office
- Certificate Effective Date
- February 15, 2025
- Certificate Expiration Date
- February 14, 2027
- Laboratory Director
- STEPHEN ANDRACKI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Angeles Medical Centers Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 3 | 8 | 9 | 3 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 6 | 8 | 18 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 6 + 8 + 1 + 8 + 3 + 1 + 8 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1609389394 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609389394, enumerated in the NPI registry as an "organization" on November 16, 2017
The provider is located at 2123 Civic Center Drive North Las Vegas, Nv 89030 and the phone number is (702) 333-0110
This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider's CLIA number is 29D2125937 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on November 16, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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