KERA RABACAL ATIJERA (NPI# 1538592381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538592381 |
Entity Type | Individual |
Full Name | KERA RABACAL ATIJERA |
Credential | PA-C |
Practice Address |
2004 Glenview Dr Las Vegas NV 89134-6114 |
Mailing Address |
9030 W Sahara Ave Suite 249 Las Vegas NV 89117-5744 |
Practice Telephone | 7026296992 |
Practice Fax Number | 7026296992 |
Mailing Telephone | 7026296992 |
Mailing Fax Number | 7026296994 |
Enumeration Date | 2013-08-15 |
Last Update Date | 2019-04-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1447 | NV | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2004 GLENVIEW DR |
City | LAS VEGAS |
State | NV |
Zip Code | 89134-6114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083611859 | Karyn Rae Doddy | Physical Medicine & Rehabilitation | 2004 Glenview Dr, Las Vegas, NV 89134-6114 | 2005-07-07 |
1093376758 | Loreydel Bias Abia | Nurse Practitioner | 2004 Glenview Dr, Las Vegas, NV 89134-6114 | 2019-06-24 |
1184135360 | Jason Sala Regalado | Nurse Practitioner | 2004 Glenview Dr, Las Vegas, NV 89134-6114 | 2017-10-16 |
1952829764 | Physical Medicine and Pain Management of Nevada, LLC | Physical Medicine & Rehabilitation | 2004 Glenview Dr, Las Vegas, NV 89134 | 2017-08-31 |
1144657149 | Rose Leih Jusayan | Nurse Practitioner | 2004 Glenview Dr, Las Vegas, NV 89134-6114 | 2013-10-04 |
1467765024 | Farzin Farhangnejad M.d. PC | Pain Medicine | 2004 Glenview Dr, Las Vegas, NV 89134-6114 | 2010-07-23 |
1518195247 | Sadaf Keroles | Physician Assistant | 2004 Glenview Dr, Las Vegas, NV 89134-6114 | 2009-07-01 |
1164429932 | Farzin Farhang | Physical Medicine & Rehabilitation | 2004 Glenview Dr, Las Vegas, NV 89134-6114 | 2005-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508345786 | J'aime Nicole Macpherson | Marriage & Family Therapist | 9148 W Lake Mead Blvd, Ste. 316, Las Vegas, NV 89134 | 2018-08-09 |
1487178471 | Rcg LLC | Nurse Practitioner | 10109 Snow Crest Pl, Las Vegas, NV 89134 | 2017-08-01 |
1346770120 | Rizalyne May Abdelnour | Dentist | 9501 Hillwood Dr., Las Vegas, NV 89134 | 2017-06-14 |
1215465380 | Erin Mattera | Marriage & Family Therapist | 9418 West Lake Mead Blvd, Las Vegas, NV 89134 | 2017-06-01 |
1871044636 | Albert Khavkin, Ltd | Pain Medicine | 9329 Eagle Ridge Dr, Las Vegas, NV 89134 | 2016-10-17 |
1952647794 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 8568 Del Webb Blvd., Las Vegas, NV 89134 | 2012-12-26 |
1518247311 | Proteus Therapeutic Solutions Inc | Counselor | 1813 Sierra Oaks Ln, Las Vegas, NV 89134 | 2011-08-24 |
1629357702 | Jessica Robbins | Marriage & Family Therapist | 9402 W. Lake Mead Blvd, Kayenta Therapy Center, Las Vegas, NV 89134 | 2011-08-08 |
1447575659 | Sara Pelton | Marriage & Family Therapist | 9418 W. Lake Mead Blvd., Las Vegas, NV 89134 | 2010-03-30 |
1205167517 | James Joshua Greathouse | Physical Therapist | 1845 Village Center Cir, Las Vegas, NV 89134 | 2010-01-26 |
Find all providers in zip 89134 |
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 KERA RABACAL ATIJERA.
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.