MEDICARE: FRANCISCO G. MACHUCA M.D. LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1801507462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCISCO G. MACHUCA M.D. LLC

Provider Business Mailing Address
First Line	:	15969 ADAMS ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68135-6325
Country	:	US
Telephone Number	:	530-990-6519
Fax Number	:	888-932-7579

Provider Business Practice Location Address
First Line	:	4425 S PECOS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5037
Country	:	US
Telephone Number	:	702-340-9746
Fax Number	:	888-932-7579

Authorized Official
Title or Position	:	OWNER
Name	:	FRANCISCO GUADALUPE MACHUCA
Credential	:	MD
Telephone Number	:	702-340-9746

Provider Enumeration Date	:	12/05/2022
Last Update Date	:	02/16/2026

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