| Sunrise Health Clinics Llc | |
|
6767 W Tropicana Ave Ste 100 Las Vegas NV 89103-4755 | |
| (702) 209-0370 | |
| (702) 463-1851 |
| Full Name | Sunrise Health Clinics Llc |
|---|---|
| Speciality | Preventive Medicine |
| Location | 6767 W Tropicana Ave Ste 100, Las Vegas, Nevada |
| Authorized Official Name and Position | Beschelle Juanmia Lockhart (OWNER) |
| Authorized Official Contact | 7022090370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Health Clinics Llc 6767 W Tropicana Ave Ste 100 Las Vegas NV 89103-4755 Ph: (702) 209-0370 | Sunrise Health Clinics Llc 6767 W Tropicana Ave Ste 100 Las Vegas NV 89103-4755 Ph: (702) 209-0370 |
| NPI Number | 1629405840 |
|---|---|
| Provider Enumeration Date | 10/02/2013 |
| Last Update Date | 03/07/2024 |
| Certification Date | 03/07/2024 |
| Medicare PECOS PAC ID | 6406143239 |
|---|---|
| Medicare Enrollment ID | O20160922001110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629405840 | NPI | - | NPPES |
| NV20141642973 | Other | NV | STATE LICENSE |
| Provider Name | Christopher M Milford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801843396 PECOS PAC ID: 8123000684 Enrollment ID: I20040607001130 |
| Provider Name | Jimmy John Novero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376502880 PECOS PAC ID: 4385792928 Enrollment ID: I20090508000082 |
| Provider Name | Tianna Pena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316243504 PECOS PAC ID: 8729303201 Enrollment ID: I20150203002215 |
| Provider Name | Ancy Tom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669840203 PECOS PAC ID: 7012201940 Enrollment ID: I20160815002894 |
| Provider Name | Jonathan A Maxham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811124589 PECOS PAC ID: 3577788637 Enrollment ID: I20170814000941 |
| Provider Name | Jackie L Aragon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134618531 PECOS PAC ID: 4587928791 Enrollment ID: I20180515002224 |
| Provider Name | Kathleen S. Mayers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417582354 PECOS PAC ID: 9830505163 Enrollment ID: I20210310001958 |
| Provider Name | Manami Ishikawa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962980656 PECOS PAC ID: 4486052297 Enrollment ID: I20211008001325 |
| Provider Name | Sean Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427396167 PECOS PAC ID: 7113362252 Enrollment ID: I20240228004863 |
| Provider Name | Samantha Ky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265172035 PECOS PAC ID: 3072047349 Enrollment ID: I20241108001102 |
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