Acnm LLC
Family Medicine in Las Vegas, NV. Organization (NPI-2).
NPI number1609656131
StatusActive
Last updated in NPPESOct 28, 2024
Details
- NPI
- 1609656131
- Entity type
- Organization (NPI-2)
- Legal business name
- Acnm LLC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2023
- Certification date
- Oct 28, 2024
- Last updated
- Oct 28, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- A Clinic Near Me (Doing Business As)
Practice location
4560 S Eastern Ave Ste 14Las Vegas, NV 89119-6182
Phone 702-978-1648
Mailing address
1050 E Flamingo RdSte 107 Pmb 1926
Las Vegas, NV 89119-7429
Phone 702-751-3336 · Fax 702-442-8612
Authorized official
Mary Charmaine Estrella Campana
Manager
7027513336
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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