OrganizationActive
Care Gold, LLC
NPI 1801215033 · Clinic/Center · Las Vegas, NV
Provider details
- NPI number
- 1801215033
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kamatchi Anbazhagan, Manager(702) 781-0868
- License
- 13978 (NV)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
3650 S Decatur Blvd
#23
Las Vegas, NV 89103-5864
Phone: (702) 781-0868
Fax: (866) 529-1497
Street-level locationGet directions
Mailing address
3650 S Decatur Blvd
Las Vegas, NV 89103-5864
Registry dates
- Enumerated
- 2014-04-15
- Last updated
- 2014-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.