MEDICARE: SANTA GOLD REALTY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1174454268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTA GOLD REALTY LLC

Provider Business Mailing Address
First Line	:	1714 SANTA PAULA DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2404
Country	:	US
Telephone Number	:	702-686-3372
Fax Number	:

Provider Business Practice Location Address
First Line	:	1714 SANTA PAULA DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2404
Country	:	US
Telephone Number	:	702-686-3372
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMY PAM
Credential	:
Telephone Number	:	702-686-3372

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

Similar Medicare Providers

1205598562 — TYSHANAE JONES
Practice Location Address:

2404 CLIFFORD AVE APT 97
LAS VEGAS, NV
89104-2148

Practice Phone: 725-710-6039
Practice Fax:

1174648935 — MR. TIMOTHY BRIAN SODER MSPT
Practice Location Address:

6440 MEDICAL CENTER ST , #100
LAS VEGAS, NV
89148-2404

Practice Phone: 702-222-1000
Practice Fax: 702-222-9448

1881710192 — EXECUTIVE FITNESS INC
Practice Location Address:

6440 MEDICAL CENTER ST , SUITE 100
LAS VEGAS, NV
89148-2404

Practice Phone: 702-222-1000
Practice Fax: 702-222-9448

1730387010 — B A HANNA MD PROF CORP
Practice Location Address:

6930 S CIMARRON RD STE 220
LAS VEGAS, NV
89113-2404

Practice Phone: 702-384-1160
Practice Fax: 702-835-0676

1992951610 — MR. MATTHEW GREENBERG DPT
Practice Location Address:

6440 MEDICAL CENTER ST STE 100
LAS VEGAS, NV
89148-2404

Practice Phone: 702-222-1000
Practice Fax: 702-222-9448

1639326820 — MR. MATTHEW PAUL WYLUBSKI PT/DPT
Practice Location Address:

6440 MEDICAL CENTER ST , SUITE 100
LAS VEGAS, NV
89148-2404

Practice Phone: 702-222-1000
Practice Fax:

Directions to “SANTA GOLD REALTY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.