REDENTOR BACANI (PA-C) – Medical Physician Assistant, NPI 1487725693
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,564 PHYSICIAN ASSISTANT in CA
Provider Addresses for REDENTOR BACANI (PA-C)
7000 BOULDER AVE
HIGHLAND, CA 923463348
Phone: (909) 403-6499
Type: Location
PO BOX 15645
LAS VEGAS, NV 891145645
Phone: (702) 560-2900
Fax: (702) 560-2928
Type: Mailing
4475 S Eastern Ave
Las Vegas, NV 891197826
Phone: (702) 737-1880
Fax: (702) 650-5729
Type: Location
South Eastern Avenue, Huntridge, Las Vegas, Clark County, Nevada, 89104, United States
LAS VEGAS, NV 891197826
Phone: (702) 737-1880
Fax: (702) 650-5729
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-04-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051017000915 | I | Physician Assistant | NV | TBD |
| I20250402001592 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 64 | 63 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 18 | 18 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 17 | 17 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 15 | 15 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 92346)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Internal Medicine | NV | |
| Physician Assistant | NV | |
| - | KY | |
| Nurse Practitioner | NV | |
| - | NV | |
| Nurse Practitioner | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| Nurse Practitioner | IL | |
| - | NV |
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