Unknown Individual – Physician Assistant, NPI 1699763466
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Unknown Individual
West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89104-1307, United States
STE 100
LAS VEGAS, NV 891461217
Phone: (702) 877-9514
Fax: (702) 312-3510
Type: Mailing
1430, East Calvada Boulevard, Pahrump, Nye County, Nevada, 89048, United States
STE 100
PAHRUMP, NV 890485824
Phone: (775) 751-1555
Fax: (775) 751-1551
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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.
No Medicare enrollment or revalidation data available for this provider in our database.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89146)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.