OrganizationActive
Moonlight Medical Clinic LLC
NPI 1366238578 · Multi-Specialty Clinic/Center · Las Vegas, NV
Provider details
- NPI number
- 1366238578
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jamie Diamond, Owner(725) 207-4335
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
3556 Tundra Swan St
Las Vegas, NV 89122-3501
Phone: (725) 207-4335
Street-level locationGet directions
Mailing address
3556 Tundra Swan St
Las Vegas, NV 89122-3501
Registry dates
- Enumerated
- 2025-04-15
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.