Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boulder Primary & Urgent Care LLC

Organization Internal Medicine Physician · NPI 1932919750

Boulder Primary & Urgent Care LLC is an Internal Medicine Physician in Las Vegas, Nevada. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3468 E Sahara Ave Ste 170
Las Vegas, NV 89104-4827
Phone: (702) 509-6028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Primary Care Clinic/Center Taxonomy 261QP2300X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1932919750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnathan Taitano — Practice Owner · (702) 509-6028
NPI enumeratedJanuary 13, 2025
Last updated in NPPESFebruary 8, 2025
Certification dateFebruary 8, 2025
Mailing address3468 E Sahara Ave Ste 170, Las Vegas, NV 89104-4827

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