CHRISTOPHER G GASTELUM SR. (NPI# 1083075980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083075980 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER G GASTELUM SR. |
| Practice Address |
1748 Victor Hugo Ln Las Vegas NV 89115-8231 |
| Practice Telephone | 7027938414 |
| Mailing Telephone | 7027938414 |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2016-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
16-154 | WI | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1748 VICTOR HUGO LN |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89115-8231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
| 1316555097 | Alma Liz Cuello Gonzalez | Technician | 3735 Gulliver St, Las Vegas, NV 89115 | 2020-07-17 |
| 1689214397 | Reginald Powers | Technician | 3817 N Nellis Blvd, Apt 218, Las Vegas, NV 89115 | 2020-01-10 |
| 1932748779 | Mindworks Mental Health Clinic | Clinic/Center | 3830 Timberlake Dr., Las Vegas, NV 89115 | 2019-12-26 |
| 1982249801 | Limitless Behavioral Services Health LLC | Community/Behavioral Health | 4370 E Craig Rd, Apt 2123, Las Vegas, NV 89115 | 2019-11-14 |
| 1033751102 | Patricia Rangel | Technician | 3125 North Pecos Rd Apt #112, Las Vegas, NV 89115 | 2019-10-10 |
| 1003388471 | Nikera Island | Technician | 9564 Nellis Blvd, Las Vegas, NV 89115 | 2018-12-26 |
| 1295218519 | Craig Duerson | Behavioral Analyst | 3624 Elegant Saint Ct, Las Vegas, NV 89115 | 2018-09-12 |
| 1043719750 | Mary Bernadette Mitchell | Technician | 3715 Hayward Field Rd, Las Vegas, NV 89115 | 2018-02-08 |
| 1689190563 | Brian D Rentie Jr. | Behavior Technician | 4730 E. Craig Rd #2160, Las Vegas, NV 89115 | 2017-08-22 |
| Find all providers in zip 89115 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753019 | Maria Josefina Olivar Mata | Specialist/Technologist, Other | 5271 Sunny Beach Ln, Las Vegas, NV 89118-1391 | 2019-07-28 |
| 1750853495 | Isaac Raphael Rhino | Specialist/Technologist, Other | 10739 Knickerbocker Ave, Las Vegas, NV 89166-8009 | 2018-12-19 |
| 1073026506 | Daisel Guevara | Specialist/Technologist, Other | 3080 Greendale St, Las Vegas, NV 89121-2715 | 2017-11-07 |
| 1073038626 | Yasmin Mauro | Specialist/Technologist, Other | 7205 Almerta Ave, Las Vegas, NV 89178-8032 | 2017-08-04 |
| 1093242349 | Heather Gamez | Specialist/Technologist, Other | 8930 W Sunset Rd Ste 140, Las Vegas, NV 89148-5009 | 2017-05-17 |
| 1821384397 | Eric Joseph Tiesi | Specialist/Technologist, Other | 8960 W. Tropicana Avenue, Suite 500, Las Vegas, NV 89147-8139 | 2011-06-23 |
| 1851687693 | Scott A Brandon | Specialist/Technologist, Other | 1857 Derbyshire Dr, Las Vegas, NV 89117-5358 | 2011-06-20 |
| 1124527155 | Jeysom Jose Kus | Specialist/Technologist, Other | 7040 Smoke Ranch Rd, Las Vegas, NV 89128-8607 | 2018-02-05 |
| 1710429741 | Stephanie Cooper | Specialist/Technologist, Other | 7385 S Pecos Rd, Suite 103, Las Vegas, NV 89120-3768 | 2016-11-08 |
| 1063968600 | Ann Kathrin Roberts | Specialist/Technologist, Other | 9499 W Charleston Blvd, Ste 200, Las Vegas, NV 89117 | 2016-09-01 |
| Find all providers in LAS VEGAS | ||||
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| 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.