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

Centerwell Senior Primary Care Nv P C

Organization Family Medicine Physician · NPI 1285257667

Centerwell Senior Primary Care Nv P C is a Family Medicine Physician in Las Vegas, Nevada. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4

Practice location Address checks out

4001 S Decatur Blvd Ste 25
Las Vegas, NV 89103-5857
Phone: (725) 224-6967
Fax: (833) 749-0357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Interventional Cardiology Physician Taxonomy 207RI0011X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1285257667
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care Nv PC
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
Other names Centerwell Senior Primary Care-Spring Valley; Partners In Primary Care Nv Pc
NPI enumeratedMay 20, 2020
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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