Individual provider Active NPI

Pauline Calderon

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1033088174
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
837499 Issued in NV
Practice address
1815 W Charleston Blvd Ste 1
Las Vegas, NV 89102-2344
Phone
(702) 760-7683
NPI assigned
Nov 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 837499 NV Primary

Addresses

Primary practice location

1815 W Charleston Blvd Ste 1
Las Vegas, NV 89102-2344

Mailing address

1815 W Charleston Blvd Ste 1
Las Vegas, NV 89102-2344
Phone (702) 760-7683

Other practice location 1

282 E Lake Mead Pkwy
Henderson, NV 89015-5582
Phone (702) 405-7260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415003043 NV Practitioner - Nurse Practitioner 7315413549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farzin Farhang MD PLLCGroup PAC ID 3476742271, 12 clinicians

Practice addresses (Care Compare)

6900 N Durango Dr
Las Vegas, NV 89149-4409
Phone (702) 408-1096

Hospital & facility affiliations

  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
837499NVMDNurse Practitioner

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1033088174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 W CHARLESTON BLVD STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022344",
            "telephone_number": "702-760-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 W CHARLESTON BLVD STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022344",
            "telephone_number": "702-760-7683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "282 E Lake Mead Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890155582",
            "country_code": "US",
            "telephone_number": "702-405-7260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "PAULINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "837499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.