Pacifica Healthcare Providers LLC
NPI 1528628633ActiveOrganization· General Practice· Las Vegas, NV
General Practice in Las Vegas, Nevada, registered in NPPES in June 2019. The authorized official on file is Claudia Avila, Coo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528628633 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2019 |
| Last updated in NPPES | Apr 22, 2022 |
| Certified by provider | Apr 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Behavior Analyst | 103K00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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) |
|---|
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