GREGORY MANNARINO (NPI# 1487670998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487670998 |
| Entity Type | Individual |
| Full Name | GREGORY MANNARINO |
| Credential | PA-C |
| Practice Address |
7061 Grand Montecito Pkwy Las Vegas NV 89149-0287 |
| Mailing Address |
Po Box 15645 Las Vegas NV 89114-5645 |
| Practice Telephone | 7027503900 |
| Practice Fax Number | 7027503916 |
| Mailing Telephone | 7027503900 |
| Mailing Fax Number | 7027503916 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2014-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 006088-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NV STATE LICENSE | PA1162 | 01 |
| NV | 1487670998 | 05 |
| Street Address |
7061 GRAND MONTECITO PKWY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89149-0287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518969187 | Robert Simeon Musni | Family Medicine | 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 | 2005-08-12 |
| 1972115772 | Charina Mae C Picornell | Nurse Practitioner | 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 | 2020-08-21 |
| 1811539679 | James Kim | Physician Assistant | 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 | 2019-10-14 |
| 1376041145 | Rebecca V Lockwood | Physician Assistant | 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 | 2018-01-26 |
| 1316498520 | Trisha Sibayan Tan-torres | Nurse Practitioner | 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 | 2016-10-24 |
| 1174072250 | Armando Sarmiento | Nurse Practitioner | 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 | 2016-09-29 |
| 1598111304 | Sarah Nicole Javier | Obstetrics & Gynecology | 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 | 2016-05-11 |
| 1851785687 | Gregory Desimone | Family Medicine | 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 | 2015-03-18 |
| 1134536436 | Antoinette Orton | Nurse Practitioner | 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 | 2014-07-18 |
| 1053725069 | Hannah Taft | Family Medicine | 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 | 2014-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796226 | Thompson Dental Pllc | Dentist | 9859 W. Deer Springs Way, Ste. 110, Las Vegas, NV 89149 | 2020-10-08 |
| 1699384941 | Dignity Select Nevada, LLC | Clinic/Center | 8675 W Rome Blvd, Las Vegas, NV 89149 | 2020-07-23 |
| 1225656945 | Vanlue Orthodontics, PC | Clinic/Center | 9855 W. Deer Springs Way, Suite 150, Las Vegas, NE 89149 | 2020-07-09 |
| 1285292052 | Dianne Pana | Physical Therapist | 351 N Fort Apache Rd, Las Vegas, NV 89149 | 2019-06-05 |
| 1477118198 | Cece Group Home, LLC | Community Based Residential Treatment Facility, Mental Illness | 5417 Ireland St, Las Vegas, NV 89149 | 2019-05-08 |
| 1790242543 | Carl Anthony Llanos Plaza | Nurse Practitioner | 6440 W Centennial Pkwy, Unit 155, Las Vegas, NV 89149 | 2019-02-28 |
| 1932664158 | Lychee Holdings, LLC | Skilled Nursing Facility | 8565 W Rome Blvd, Las Vegas, NV 89149 | 2019-02-01 |
| 1366976276 | Pam Squared At Las Vegas, LLC | Rehabilitation Hospital | 6166 North Durango Drive, Las Vegas, NV 89149 | 2017-04-18 |
| 1083076269 | Kristopher Kevin Kleinman | Registered Nurse | 5550 Painted Mirage Rd Ste 217, Las Vegas, NV 89149 | 2016-03-25 |
| 1326428962 | Kimberly Vialpando | Physical Therapist | 6351 N. Forte Apache Road, Las Vegas, NV 89149 | 2015-06-08 |
| Find all providers in zip 89149 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165985 | Vanessa E R Pulido Artienda | Physician Assistant | 7829 Strong Water Ct, Las Vegas, NV 89131-8247 | 2020-05-18 |
| 1427697952 | Fabiola Capano | Physician Assistant | 6930 S Cimarron Rd Ste 260, Las Vegas, NV 89113-2135 | 2020-01-01 |
| 1588200521 | Kimberly Hunt | Physician Assistant | 2250 E Flamingo Rd Ste 100, Las Vegas, NV 89119-5170 | 2019-11-25 |
| 1104461433 | Jacqueline Emilia Lindine | Physician Assistant | 7720 W Sahara Ave Ste 103, Las Vegas, NV 89117-2754 | 2019-11-11 |
| 1255973285 | Kirstey Langston | Physician Assistant | 4475 S Eastern Ave Ste 1500, Las Vegas, NV 89119-7826 | 2019-10-10 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1548825094 | Victoria Ashlyn James Hinton | Physician Assistant | 5775 S Fort Apache Rd Ste 120, Las Vegas, NV 89148-5627 | 2019-05-09 |
| 1275007205 | Kathy Ann Tran | Physician Assistant | 401 N Buffalo Dr Ste 200, Las Vegas, NV 89145-0397 | 2019-01-12 |
| 1144717067 | Lynne Barbara Ulevich | Physician Assistant | 9310 S Eastern Ave Ste 122, Las Vegas, NV 89123-6844 | 2018-04-16 |
| 1104326727 | Amanda Howe Parker Bartlett | Physician Assistant | 7170 Smoke Ranch Rd Ste 110, Las Vegas, NV 89128-3208 | 2018-02-20 |
| 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.