| Saint Jude Medical Group Llc Home Doctors | |
|
871 Coronado Center Dr Ste 200 Henderson NV 89052-3977 | |
| (702) 934-6441 | |
| (702) 933-1060 |
| Full Name | Saint Jude Medical Group Llc Home Doctors |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 871 Coronado Center Dr Ste 200, Henderson, Nevada |
| Authorized Official Name and Position | Nerissa Dimailig (OWNER) |
| Authorized Official Contact | 7252285186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Jude Medical Group Llc Home Doctors 871 Coronado Center Dr Ste 200 Henderson NV 89052-3977 Ph: (725) 228-5186 | Saint Jude Medical Group Llc Home Doctors 871 Coronado Center Dr Ste 200 Henderson NV 89052-3977 Ph: (702) 934-6441 |
| NPI Number | 1730713611 |
|---|---|
| Provider Enumeration Date | 02/28/2020 |
| Last Update Date | 03/19/2026 |
| Medicare PECOS PAC ID | 4981034972 |
|---|---|
| Medicare Enrollment ID | O20200414003437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730713611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Nerissa C Cunanan Dimailig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629390786 PECOS PAC ID: 9234260613 Enrollment ID: I20100629000339 |
| Provider Name | Cesar S Estillore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649517970 PECOS PAC ID: 9739252180 Enrollment ID: I20130530000507 |
| Provider Name | Debbie Edano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841507514 PECOS PAC ID: 5698958171 Enrollment ID: I20151113002212 |
| Provider Name | Rommel Lacsamana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710507868 PECOS PAC ID: 6608287883 Enrollment ID: I20201118002748 |
| Provider Name | Jasmin Quillosa Matutis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497324206 PECOS PAC ID: 8325449994 Enrollment ID: I20210702001468 |
| Provider Name | Milagros Micaela S Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295453835 PECOS PAC ID: 8921477084 Enrollment ID: I20221212002045 |
Victor Klausner, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9005 S Pecos Rd, Ste 2610, Henderson, NV 89074 Phone: 702-474-0472 Fax: 702-474-4012 | |
Silver State Field Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 871 Coronado Center Dr Ste 200, Henderson, NV 89052 Phone: 702-913-9380 | |
Siena Hills Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2789 Sunridge Heights Pkwy, Suite 100, Henderson, NV 89052 Phone: 702-614-0850 Fax: 702-614-0798 | |
Auralcare Hearing Centers Of America, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7785 W Sahara Avenue, Henderson, NV 89015 Phone: 385-276-8414 | |
The Doc's Primary Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3005 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052 Phone: 702-997-7600 | |
Srinivas Vuthoori, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2610 W Horizon Ridge Pkwy, Suite #103, Henderson, NV 89052 Phone: 702-407-8241 Fax: 702-492-1728 | |
Mark Day, D.o., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 N Pecos Rd Ste A, Henderson, NV 89074 Phone: 702-456-9100 Fax: 702-434-7354 |