Virgilio Siu, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA934 Issued in NV

Practice address

2354 E Bonanza Rd
Las Vegas, NV 89101-3451

Phone

(702) 476-2287

Fax

(702) 718-0393

NPI assigned

Jul 6, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Apollocare Partners of Nevada, Inc.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1316640618
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1043241078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8379 W SUNSET RD STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132243",
            "telephone_number": "725-200-3232",
            "fax_number": "725-220-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2354 E BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013451",
            "telephone_number": "702-476-2287",
            "fax_number": "702-718-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIU",
        "first_name": "VIRGILIO",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ching Yi Siu
• Kelly Siu
• Laurita Siu, DDS, MPH
• Sasha Anne Siu
• Sin Ling Siu
• Anberlin Sivilay
• Jodi Siwulec
• Emma C Siy, LBA, BCBA
• Sizewise Rentals LLC
• Joey Lyn Sjostrom, RD

• Medical Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.