| Caring for Life Medical Group | |
|
10170 W Tropicana Ave # 156-336 Las Vegas NV 89147-8465 | |
| (702) 496-1755 | |
| (702) 703-5509 |
| Full Name | Caring for Life Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 10170 W Tropicana Ave # 156-336, Las Vegas, Nevada |
| Authorized Official Name and Position | Lubna Javed (MANAGING MEMBER) |
| Authorized Official Contact | 7024961755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caring for Life Medical Group 10170 W Tropicana Ave # 156-336 Las Vegas NV 89147-8465 Ph: (702) 496-1755 | Caring for Life Medical Group 10170 W Tropicana Ave # 156-336 Las Vegas NV 89147-8465 Ph: (702) 496-1755 |
| NPI Number | 1033537402 |
|---|---|
| Provider Enumeration Date | 04/02/2014 |
| Last Update Date | 02/06/2017 |
| Medicare PECOS PAC ID | 0648498543 |
|---|---|
| Medicare Enrollment ID | O20140905000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033537402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Secondary |
| 207QS1201X | Family Medicine - Sleep Medicine | () | Secondary |
| Provider Name | Malik T Rahim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356542112 PECOS PAC ID: 0941350631 Enrollment ID: I20120726000585 |
| Provider Name | Lubna Javed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730380585 PECOS PAC ID: 2567651680 Enrollment ID: I20120814000406 |
| Provider Name | Jessica Tysz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104487164 PECOS PAC ID: 2567894512 Enrollment ID: I20191113003243 |
| Provider Name | Mary Grace Tolentino Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891374203 PECOS PAC ID: 9739585886 Enrollment ID: I20210915000845 |
| Provider Name | Krizza Angelique Olonan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154029148 PECOS PAC ID: 4183081151 Enrollment ID: I20230606003234 |
| Provider Name | Mackenzie Eastman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245078690 PECOS PAC ID: 2668912445 Enrollment ID: I20240906003646 |
| Provider Name | Marjorie Asinas Mehlberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295684637 PECOS PAC ID: 3779066006 Enrollment ID: I20260313003157 |
| Provider Name | Brandon Yebes Villanueva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073467841 PECOS PAC ID: 7214411370 Enrollment ID: I20260317004474 |
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