NPIMap

Individual provider Active NPI

Yamilka Castillo Gongora, APRN

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1053690362
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
827217 Issued in NV
Practice address
2080 E Flamingo Rd Ste 110
Las Vegas, NV 89119-5175
Phone
(702) 623-8651
Fax
(702) 605-1744
NPI assigned
Aug 4, 2011
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 827217 NV Primary

Addresses

Primary practice location

2080 E Flamingo Rd Ste 110
Las Vegas, NV 89119-5175

Mailing address

2080 E Flamingo Rd Ste 110
Las Vegas, NV 89119-5175
Phone (702) 623-8651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200513002237 NV Practitioner - Nurse Practitioner 0840621553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Better Health Nevada LLCGroup PAC ID 3375912082, 2 clinicians
Mark a Perez MD LLCGroup PAC ID 2365693082, 2 clinicians

Practice addresses (Care Compare)

2080 E Flamingo Rd
Suite 110
Las Vegas, NV 89119-5175
Phone (702) 384-7669

4275 Burnham Ave
Suite 210
Las Vegas, NV 89119-5400
Phone (702) 384-7669

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
827217NVMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prossavid Health Care Center L C CurrentSince Apr 1, 2025 Accepting new patients
Snow Medical Center LLC Current Accepting new patients
Better Health Nevada LLC Adult Health CurrentSince Oct 1, 2022 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

2080 E Flamingo Rd
Ste 110
Las Vegas, NV 89119
Phone (702) 384-7669

3216 W Charleston Blvd
Ste D
Las Vegas, NV 89102
Phone (702) 498-8903

Organizations & group practices 9

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

Hospital & facility affiliations 5

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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1053690362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 E FLAMINGO RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195175",
            "telephone_number": "702-623-8651",
            "fax_number": "702-605-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 E FLAMINGO RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195175",
            "telephone_number": "702-623-8651",
            "fax_number": "702-605-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO GONGORA",
        "first_name": "YAMILKA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "827217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.