JAVIER AVILA (NPI# 1477641504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477641504 |
| Entity Type | Individual |
| Full Name | JAVIER AVILA |
| Other Name | JOSE JAVIER AVILA RAMIREZ |
| Credential | PA-C |
| Practice Address |
6120 S Fort Apache Rd Las Vegas NV 89148-6702 |
| Practice Telephone | 7029488660 |
| Practice Fax Number | 7024836663 |
| Mailing Telephone | 7029488660 |
| Mailing Fax Number | 7024836663 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA860 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100501168 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558624007 | Javier Avila | Specialist | 538 8th Avenue, 2nd Floor, New York, NY 10018-4306 | 2012-06-20 |
| 1518436641 | Javier Avila | Behavior Technician | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2018-11-19 |
| Street Address |
6120 S FORT APACHE RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-6702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518914027 | Heath R Wills | Anesthesiology | 6120 S Fort Apache Rd, #150, Las Vegas, NV 89148-6702 | 2006-05-28 |
| 1629492137 | 215 Surgery Center, LLC | Clinic/Center | 6120 S Fort Apache Rd, Ste. 200, Las Vegas, NV 89148-6702 | 2014-02-05 |
| 1164670634 | Isaac B. Tunnell | Physician Assistant | 6120 S Fort Apache Rd, Las Vegas, NV 89148-6702 | 2008-09-08 |
| 1679675060 | Jeremy Marc Lipshutz | Anesthesiology | 6120 S Fort Apache Rd, Las Vegas, NV 89148-6702 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
| Find all providers in zip 89148 | ||||
| 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 | ||||
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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.