MEDICARE: SAN CARLOS COMPANY INC.

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	207Q00000X	Family Medicine Physician	9391	NV

General Provider Information

NPI Number	:	1174600845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN CARLOS COMPANY INC.

Provider Business Mailing Address
First Line	:	2400 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2179
Country	:	US
Telephone Number	:	702-320-7930
Fax Number	:	702-320-7932

Provider Business Practice Location Address
First Line	:	2400 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2179
Country	:	US
Telephone Number	:	702-320-7930
Fax Number	:	702-320-7932

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CARLOS R. ANAYA
Credential	:	M.D.
Telephone Number	:	702-320-7930

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	04/25/2013

Similar Medicare Providers

1093666521 — DR. GIANNI MARIE TERRANA PTD
Practice Location Address:

2496 W CHARLESTON BLVD
LAS VEGAS, NV
89102-2179

Practice Phone: 702-310-3720
Practice Fax: 702-870-0775

1245181775 — ERIN KOLLEEN HALL PTA
Practice Location Address:

2496 W CHARLESTON BLVD
LAS VEGAS, NV
89102-2179

Practice Phone: 702-310-3720
Practice Fax: 702-870-0775

1558213082 — LUCIA DAWN MATHIS OTR/L
Practice Location Address:

2496 W CHARLESTON BLVD
LAS VEGAS, NV
89102-2179

Practice Phone: 702-310-3720
Practice Fax: 702-870-0775

1154328656 — SOHEIL GORAVANCHI D.O.
Practice Location Address:

2450 W CHARLESTON BLVD
LAS VEGAS, NV
89102-2179

Practice Phone: 702-877-8661
Practice Fax: 702-667-4689

1942290697 — MS. DONNA LEE COLLIER CRNA
Practice Location Address:

2450 W CHARLESTON BLVD
LAS VEGAS, NV
89102-2179

Practice Phone: 702-877-8660
Practice Fax: 702-258-1322

1487637682 — LEIGH ANN PIERSON MD
Practice Location Address:

2450 W CHARLESTON BLVD
LAS VEGAS, NV
89102-2179

Practice Phone: 702-877-8661
Practice Fax:

1760468631 — SHARON POON MD
Practice Location Address:

2450 W CHARLESTON BLVD
LAS VEGAS, NV
89102-2179

Practice Phone: 702-877-8661
Practice Fax:

Directions to “SAN CARLOS COMPANY INC. ” 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.