# FREMONT PRIMARY CARE - ENDOCRINOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Joslin Diabetes Center Affiliate at Fremont Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295712693
- **Authorized official:** JON GREG GRIFFIN (CEO)
- **Authorized official phone:** (702) 671-6800

## Contact information

- **Practice address:** 4880 WYNN RD, LAS VEGAS, NV 89103-5406
- **Practice address phone:** (702) 362-3422
- **Practice address fax:** (702) 939-8827
- **Mailing address:** PO BOX 1737, LAS VEGAS, NV 89125-1737
- **Mailing address phone:** (702) 671-6800
- **Mailing address fax:** (702) 671-6855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | — | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/27/2005
- **Last updated:** 09/11/2025