| Cchcs LLC | |
|
1044 Inglewood Dr Ste 203 Fernley NV 89408-9327 | |
| (725) 312-3000 | |
| (702) 995-6509 |
| Full Name | Cchcs LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1044 Inglewood Dr Ste 203, Fernley, Nevada |
| Authorized Official Name and Position | Cindy Jones (MANAGER) |
| Authorized Official Contact | 7756820020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cchcs LLC 1500 E Tropicana Ave Ste 118 Las Vegas NV 89119-6516 Ph: (725) 312-3000 | Cchcs LLC 1044 Inglewood Dr Ste 203 Fernley NV 89408-9327 Ph: (725) 312-3000 |
| NPI Number | 1740990787 |
|---|---|
| Provider Enumeration Date | 11/30/2022 |
| Last Update Date | 03/06/2026 |
| Certification Date | 03/06/2026 |
| Medicare PECOS PAC ID | 8527597822 |
|---|---|
| Medicare Enrollment ID | O20250131001480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740990787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | David Prothro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942208426 PECOS PAC ID: 1254395171 Enrollment ID: I20050128000275 |
| Provider Name | Elizabeth Y Kang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801824214 PECOS PAC ID: 3577560531 Enrollment ID: I20061103000499 |
| Provider Name | Sonia Rich-mazzeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477799948 PECOS PAC ID: 8224285879 Enrollment ID: I20160919002180 |
| Provider Name | Nathan Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639602683 PECOS PAC ID: 2860762549 Enrollment ID: I20170728001050 |
| Provider Name | John a Garrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902284870 PECOS PAC ID: 8426357864 Enrollment ID: I20191007002641 |
| Provider Name | Ziad Francis Shahin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902563497 PECOS PAC ID: 1557753415 Enrollment ID: I20220126002486 |
| Provider Name | Sheree Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992246938 PECOS PAC ID: 7810264959 Enrollment ID: I20220818002532 |
| Provider Name | Aymara Valladares |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184865289 PECOS PAC ID: 1355796244 Enrollment ID: I20240506004613 |
| Provider Name | Lee Neil De La Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972303287 PECOS PAC ID: 7810405552 Enrollment ID: I20250804002134 |
Banner Health Physicians West LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1260 Nevada Pacific Blvd, Fernley, NV 89408 Phone: 775-575-7171 Fax: 775-575-7227 |
Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 E Main St, Suite A, Fernley, NV 89408 Phone: 775-575-7171 |
Fernley Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1343 Newlands Dr W, Fernley, NV 89408 Phone: 775-982-5000 Fax: 775-982-6504 |
Banner Health Center Fernley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1260 Nevada Pacific Blvd, Fernley, NV 89408 Phone: 775-575-7171 Fax: 775-575-7227 |
Nicki Industries LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 West St, Fernley, NV 89408 Phone: 775-444-1804 |
Banner Churchill Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1260 Nevada Pacific Blvd, Fernley, NV 89408 Phone: 775-575-7171 |