Individual provider Active NPI

Felix Enrique Zaldivar Concepcion, FNP-BC

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1023879590
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
831799 Issued in NV
Practice address
9495 Perennial View Ave
Las Vegas, NV 89148-4579
Phone
(702) 963-6265
NPI assigned
Jan 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 831799 NV Primary

Addresses

Primary practice location

9495 Perennial View Ave
Las Vegas, NV 89148-4579

Mailing address

9495 Perennial View Ave
Las Vegas, NV 89148-4579
Phone (702) 963-6265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
831799NVMDPrimary Care Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1023879590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9495 PERENNIAL VIEW AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484579",
            "telephone_number": "702-963-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9495 PERENNIAL VIEW AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484579",
            "telephone_number": "702-963-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALDIVAR CONCEPCION",
        "first_name": "FELIX",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "831799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.