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

Safe Harbor Medical, Inc

Organization Family Medicine Physician · NPI 1619394251

Safe Harbor Medical, Inc is a Family Medicine Physician in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2014.

Licensed in
NV
In the registry since
2014
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2901 N Tenaya Way Ste 100
Las Vegas, NV 89128-1404
Phone: (702) 870-8852
Fax: (702) 870-8914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 380 (NV)
Community Health Clinic/Center Taxonomy 261QC1500X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1619394251
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Alicea — Ceo · (702) 870-8852
Other names Safe Harbor Medical
NPI enumeratedMarch 20, 2014
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing address2901 N Tenaya Way Ste 100, Las Vegas, NV 89128-1404

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