Joselo Atienza Vicuna, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

3370 Issued in NV

Practice address

2365 Reynolds Ave
211
North Las Vegas, NV 89030-7276

Phone

(702) 399-1287

Fax

(702) 649-8064

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Healthcare Partners Medical Group (Coats), LTD.

  • Hematology & Oncology Physician
  • Las Vegas, NV
  • NPI 1477701183
  NPD (past)
• Intermountain Medical Holdings Nevada Inc

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1245997279
  NPD (past)
• Southwest Medical Associates, Inc

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1659346005
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1033201082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98978",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891938978",
            "telephone_number": "702-507-2486",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 REYNOLDS AVE",
            "address_2": "211",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307276",
            "telephone_number": "702-399-1287",
            "fax_number": "702-649-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICUNA",
        "first_name": "JOSELO",
        "middle_name": "ATIENZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "3370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033201082",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Remedios Vevegas
• Fatima Grace Viado, LCSW
• Lowryanne Vick, DNP, APRN, ACNP-BC
• Maria Teresa Victorio-Hernandez
• Victorious Beginnings
• Mylene B Vicuna, M.D.
• Amanda Nicole Vieira, CADC
• Amanda Vietti, APRN
• Evelia Vigil Montoya
• Michael Joseph Vigue, D.O.

• General Practice Physician in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• General Practice Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.