MR. JESS R. CRESENCIA (NPI# 1063512911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063512911 |
Entity Type | Individual |
Full Name | MR. JESS R. CRESENCIA |
Credential | PA-C |
Practice Address |
916 W Owens Ave N/a Las Vegas NV 89106-2516 |
Mailing Address |
6900 North Pecos Road. N/a Las Vegas NV 89086 |
Practice Telephone | 7027919000 |
Practice Fax Number | 7026364017 |
Enumeration Date | 2006-09-22 |
Last Update Date | 2012-12-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
594 | NV | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
916 W OWENS AVE N/A |
City | LAS VEGAS |
State | NV |
Zip Code | 89106-2516 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639136112 | Herbert P Goldman | Psychiatry & Neurology | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2006-04-27 |
1952913790 | Clever Alliance LLC | Clinic/Center | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2020-08-22 |
1689204166 | Therapeutic Integrated Medical Care Inc | Community/Behavioral Health | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2020-01-23 |
1164076873 | Monteray Sellers Deandre Mcgee | Nurse Practitioner | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2019-07-31 |
1144742800 | L Empey Do Nucleus Medical Group Pllc | Family Medicine | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2017-07-13 |
1336542711 | Jeffrey Smith | Social Worker | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2014-09-30 |
1053666529 | Robyn M Klein | Social Worker | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2012-07-19 |
1962773127 | Thomas Jones | Social Worker | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2012-01-19 |
1245507037 | Steven J Cox | Social Worker | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2011-11-21 |
1396047312 | Denise Gray | Social Worker | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2010-11-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
Find all providers in zip 89106 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821554106 | Amy Hamilton | Physician Assistant | 5785 Centennial Center Blvd Ste 190, Las Vegas, NV 89149-7110 | 2019-02-12 |
1386145159 | Kevin Refahiyat | Physician Assistant | 7150 S Durango Dr Ste 105, Las Vegas, NV 89113-2242 | 2018-02-26 |
1316487325 | Nadiya-larissa Bateman | Physician Assistant | 2809 W Charleston Blvd # 150, Las Vegas, NV 89102-1998 | 2017-02-24 |
1760840797 | Ying Quan | Physician Assistant | 2995 S Jones Blvd Ste A, Las Vegas, NV 89146-5612 | 2016-02-04 |
1396121646 | Lucas Michal Anderson | Physician Assistant | 9050 W Tropicana Ave, 1159, Las Vegas, NV 89147-8186 | 2015-08-09 |
1851631378 | Matthew Sanders | Physician Assistant | 6870 S. Rainbow Blvd, Suite 106, Las Vegas, NV 89118 | 2013-02-20 |
1285973289 | Jesus Angel Corn Sotelo | Physician Assistant | 4225 S Eastern Ave Ste 8, Las Vegas, NV 89119-5485 | 2013-02-11 |
1952675993 | Donald Patrick Mcgrorey Md Pllc | Physician Assistant | 6440 N Durango Dr Bldg A, Las Vegas, NV 89149-8513 | 2012-03-07 |
1508136375 | Leigh Richards Boeckle | Physician Assistant | 9033 W Sahara Ave, Las Vegas, NV 89117 | 2012-01-10 |
1225315229 | Samantha J Van Ginneken | Physician Assistant | 8020 S Rainbow Blvd Ste 100, Box #536, Las Vegas, NV 89139-6494 | 2011-11-04 |
Find all providers in LAS VEGAS |
Please comment or provide details below to improve the information on MR. JESS R. CRESENCIA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.