OrganizationActive
Rosenberg Initiative
NPI 1912765736 · Family Medicine Physician · Las Vegas, NV
Provider details
- NPI number
- 1912765736
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brandon Line, Chief Operations Officer(702) 232-0833
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
929 Vincent Way
Las Vegas, NV 89145-6105
Phone: (702) 468-2686
Fax: (702) 852-0441
Street-level locationGet directions
Mailing address
Po Box 46682
Las Vegas, NV 89114-6682
Other names (DBA / former)
- Doing business as
- Rosenberg Initiative Clinic on Wheels
Registry dates
- Enumerated
- 2024-03-07
- Last updated
- 2024-11-12
- Certified
- 2024-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.