San Juan Bautista Medical Center – Health Service Clinic/Center, NPI 1235285123

San Juan Bautista Medical Center is a healthcare provider. based in Henderson, Nevada. specializing in Health Service Clinic/Center. The organization holds a License No. Q07-01273-6-131430 (NV). The NPI Number for San Juan Bautista Medical Center is 1235285123

Main info

Organization
Name
San Juan Bautista Medical Center
NPI
1235285123
Phone
(702) 767-4667
Address
400 PIONEER ST
Authorized Official
MR. KENNETH JOSEPH LITTLE JR. EXECUTIVE ADMINISTRATOR
Enumeration Date
25 January 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for San Juan Bautista Medical Center

  • 400, North Pioneer Street, Summit on Boulder, Water Street District, Henderson, Clark County, Nevada, 89015, United States

    HENDERSON, NV 890151702

    Phone: (702) 767-4667

    Fax: (702) 639-1291

    Type: Mailing

  • 6201, Hargrove Avenue, Charleston Heights, Las Vegas, Clark County, Nevada, 89107, United States

    LAS VEGAS, NV 891072512

    Phone: (702) 639-1244

    Fax: (702) 639-1291

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89015)

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Reviews

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Frequently asked questions

What is San Juan Bautista Medical Center's NPI number?
San Juan Bautista Medical Center's NPI is 1235285123 — the number used across U.S. healthcare to identify this provider.
Is San Juan Bautista Medical Center still an active registrant?
San Juan Bautista Medical Center carries an active NPI according to the public dataset.
What clinical focus is listed for San Juan Bautista Medical Center?
At a glance, San Juan Bautista Medical Center is tied to Health Service Clinic/Center. Clinical services aligned with this taxonomy classification.
What practice footprint exists for San Juan Bautista Medical Center?
Travel planning: use Henderson, Nevada as the reference point for San Juan Bautista Medical Center, then confirm.
Does San Juan Bautista Medical Center accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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