Marisa C Medina MD PC
NPI 1104013739 · Primary Care Clinic/Center · Henderson, NV
Marisa C Medina MD PC is a Primary Care Clinic/Center organization in Henderson, NV (NPI 1104013739).
Provider details
- NPI number
- 1104013739
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marisa Medina, Doctor(702) 932-9824
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Registry dates
- Enumerated
- 2007-09-27
- Last updated
- 2007-11-14
Frequently asked questions
- What is Marisa C Medina MD PC's NPI number?
- Marisa C Medina MD PC's National Provider Identifier (NPI) is 1104013739, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marisa C Medina MD PC?
- Marisa C Medina MD PC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Marisa C Medina MD PC located?
- Marisa C Medina MD PC's practice location on file with NPPES is 11201 S Eastern #120, Henderson, NV 89052-6200.
- What is Marisa C Medina MD PC's phone number?
- The practice phone number listed in the NPPES registry for Marisa C Medina MD PC is (702) 731-9711.
- Who is the authorized official for Marisa C Medina MD PC?
- The authorized official listed on Marisa C Medina MD PC's NPPES record is Marisa Medina, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marisa C Medina MD PC's NPI active?
- Yes — Marisa C Medina MD PC's NPI (1104013739) is active in the NPPES registry as of the last update on 2007-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.