Centerwell Senior Primary Care (nv) PC
NPI 1043926777 · Internal Medicine Physician · Las Vegas, NV
Centerwell Senior Primary Care (nv) PC is a Internal Medicine Physician organization in Las Vegas, NV (NPI 1043926777).
Provider details
- NPI number
- 1043926777
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Centerwell Senior Primary Care (nv) PC
- Organization subpart
- Yes
- Authorized official
- Angie Martinez, Senior Credentialing Professional(407) 447-7120
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Interventional Cardiology Physician207RI0011X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Centerwell Senior Primary Care-Blue Diamond
- Doing business as
- Centerwell Senior Primary Care-Blue Diamond
Registry dates
- Enumerated
- 2023-01-26
- Last updated
- 2024-07-03
- Certified
- 2024-07-03
Frequently asked questions
- What is Centerwell Senior Primary Care (nv) PC's NPI number?
- Centerwell Senior Primary Care (nv) PC's National Provider Identifier (NPI) is 1043926777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centerwell Senior Primary Care (nv) PC?
- Centerwell Senior Primary Care (nv) PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Centerwell Senior Primary Care (nv) PC located?
- Centerwell Senior Primary Care (nv) PC's practice location on file with NPPES is 4517 Blue Diamond Rd, Las Vegas, NV 89139-7620.
- What is Centerwell Senior Primary Care (nv) PC's phone number?
- The practice phone number listed in the NPPES registry for Centerwell Senior Primary Care (nv) PC is (725) 258-2982.
- Who is the authorized official for Centerwell Senior Primary Care (nv) PC?
- The authorized official listed on Centerwell Senior Primary Care (nv) PC's NPPES record is Angie Martinez, Senior Credentialing Professional. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centerwell Senior Primary Care (nv) PC's NPI active?
- Yes — Centerwell Senior Primary Care (nv) PC's NPI (1043926777) is active in the NPPES registry as of the last update on 2024-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.