Desertbloom Medical LLC
NPI 1376323550ActiveOrganization· Clinic/Center· Las Vegas, NV
Clinic/Center in Las Vegas, Nevada, registered in NPPES in October 2023. The authorized official on file is Asya Hovhannisyan, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1376323550 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2023 |
| Last updated in NPPES | Oct 22, 2024 |
| Certified by provider | Oct 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NV) |
|---|
Other Clinic/Center providers in Las Vegas
- 1114762218
- 1245921295
- 1588287544
- 1780319541
- 1346863073
- 1043645930
- 1124855531
- 1073335428
- 1649184433
- 1134388929
- 1326562075
- 1417794249