JESSE ANG


Address: 2212 S Eastern Ave, Las Vegas, NV 89104-4124
Phone: 7027359334

JESSE ANG (NPI# 1891863718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891863718
Entity Type Individual
Full Name JESSE ANG
Credential M.D.
Practice Address 2212 S Eastern Ave
Las Vegas
NV 89104-4124
Mailing Address 3325 Research Way
Carson City
NV 89706-7913
Practice Telephone 7027359334
Practice Fax Number 7027359335
Mailing Telephone 7758886610
Mailing Fax Number 7758884904
Enumeration Date 2006-11-30
Last Update Date 2014-01-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 11512 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV MEDICAL LICENSE 11512 01
NV 1891863718 05

Office Location

Street Address 2212 S EASTERN AVE
City LAS VEGAS
State NV
Zip Code 89104-4124

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326069634 Jerrold P Cansdale Dentist 2212 S Eastern Ave, Las Vegas, NV 89104-4124 2006-07-21
1942825898 Michelle Renee Scheitzach Dental Hygienist 2212 S Eastern Ave, Las Vegas, NV 89104-4124 2020-06-16
1033758669 Susan Aileen Davis Dental Hygienist 2212 S Eastern Ave, Las Vegas, NV 89104-4124 2019-12-30
1609427947 John Fife Dentist 2212 S Eastern Ave, Las Vegas, NV 89104-4124 2019-09-27
1710444351 David Lee Fleming Physician Assistant 2212 S Eastern Ave, Las Vegas, NV 89104-4124 2019-03-01
1104332592 Alicia Digiacomo Dental Hygienist 2212 S Eastern Ave, Las Vegas, NV 89104-4124 2017-12-20
1417405911 Alexandrea Wabara Dentist 2212 S Eastern Ave, Las Vegas, NV 89104-4124 2016-09-14
1750733549 Chantelle Chand Internal Medicine 2212 S Eastern Ave, Las Vegas, NV 89104-4124 2016-07-06
1821463282 Heather Marie Felkins Dental Hygienist 2212 S Eastern Ave, Las Vegas, NV 89104-4124 2015-12-09
1538547922 Claire Choate Dental Hygienist 2212 S Eastern Ave, Las Vegas, NV 89104-4124 2015-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316550635 Comfort Care Senior Services LLC In Home Supportive Care 1601 S Sandhill Rd, 62, Las Vegas, NV 89104 2020-08-26
1508484734 Accessible Space Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1405 South Mojave Rd, Las Vegas, NV 89104 2020-07-14
1003448333 Shirley Lauren Valenzona-gianan Pharmacist Smith's Pharmacy #318, 4965 East Sahara Avenue, Las Vegas, NV 89104 2020-02-05
1427602713 Alma Lucia Lozano-vargas Chore Provider 1785 E. Sahara Ave. Suite 485, Las Vegas, NV 89104 2019-07-25
1396398947 Martinez Antuan Coates Psychologist 1755 Palm St Bld T Apt147, Las Vegas, NV 89104 2019-07-23
1982171518 Ian Sande Occupational Therapist 1500 West Warm Springs Rd, Las Vegas, NV 89104 2018-11-01
1215436563 A Better Life In Home Care, LLC Technician 1810 East Sahara Avenue, Suite 216, Las Vegas, NV 89104 2018-02-01
1891202016 Nevada Helping Hands LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1810 E Sahara Ave Ste 143, Las Vegas, NV 89104 2018-01-09
1760901581 Fannie Bell Counselor 1800 E. Sahara Suite 104, Las Vegas, NV 89104 2017-09-13
1386162147 Jaclyn Mustachio Social Worker 1860 E Sahara Ave, Las Vegas, NV 89104 2017-08-31
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922624592 Brookes Pediatrics LLC Pediatrics 8440 W Lake Mead Blvd Ste 104, Las Vegas, NV 89128-7648 2020-06-19
1972079937 Ching's Pediatrics, Pllc. Pediatrics 9260 W Sunset Rd Ste 205, Las Vegas, NV 89148-4903 2018-10-17
1912429093 Rock & Rowles Pediatrics PC Pediatrics 2380 N Buffalo Dr Ste 145, Las Vegas, NV 89128-4807 2017-07-11
1104280783 Aadil Mohammed Rahman Pediatrics 3186 S. Maryland Parkway, Las Vegas, NV 89109-2317 2016-04-08
1508257676 Susan R Fernandez PC Pediatrics 6843 W Tropicana Ave, Suite 100, Las Vegas, NV 89103-4922 2015-02-11
1447592506 Tina Vikki Desai Pediatrics 2040 W Charleston Blvd Ste 402, Las Vegas, NV 89102-2250 2013-03-26
1699014365 Bond Pediatrics Ltd Pediatrics 5751 S Fort Apache Rd Ste A, Las Vegas, NV 89148-5624 2013-01-31
1891057519 Rabbi Zia Pediatrics 10105 Banburry Cross Dr Ste 370, Las Vegas, NV 89144-6649 2012-06-08
1730445099 William Edward Bannen Pediatrics 10 Wild Dunes Court, Las Vegas, NV 89113-1332 2012-04-11
1255622577 Sanjay Kandoth Md PC Pediatrics 7875 S Rainbow Blvd, Suite 102, Las Vegas, NV 89139-6469 2011-04-20
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Competitor

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City LAS VEGAS
Zip Code 89104

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Dataset Information

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.

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