1st Clark County Medical Clinic LLC
NPI 1154022523ActiveOrganization· General Practice· Las Vegas, NV
General Practice in Las Vegas, Nevada, registered in NPPES in March 2023. The authorized official on file is Grezilda Mae Cabo, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154022523 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2023 |
| Last updated in NPPES | Sep 30, 2026 |
| Certified by provider | Sep 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | 2084B0040X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NV) |
|---|
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