Active NPI
Thomas York, PA-C
- Medical Physician Assistant
- Las Vegas, NV
National Provider Identifier
1063746188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA1479
- Practice address
- 2716 N Tenaya Way
Las Vegas, NV 89128-0424 - Phone
- (702) 243-8500
- Fax
- (702) 242-7944
- NPI assigned
- Sep 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | PA1479 | NV | Primary |
Addresses
Primary practice location
2716 N Tenaya Way
Las Vegas, NV 89128-0424
Mailing address
PO Box 15645
Las Vegas, NV 89114-5645
Phone (702) 243-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063746188 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1479 | NV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Healthcare LLC | Current | Accepting new patients | |
| Anjali Dsouza MD PLLC | Current | Accepting new patients |
Locations
1015 25th St
Anacortes, WA 98221
Phone (360) 899-4600
113 Cherry St
#39581
Seattle, WA 98104
Phone (206) 538-2314
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.
-
- Internal Medicine Physician
- Marysville, WA
- NPI 1942638416
-
- Specialist
- La Conner, WA
- NPI 1174943765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1063746188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15645",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891145645",
"telephone_number": "702-243-8500",
"fax_number": "702-242-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2716 N TENAYA WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280424",
"telephone_number": "702-243-8500",
"fax_number": "702-242-7944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "THOMAS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-22",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA1479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063746188",
"state": "NV"
}
],
"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 Feb 21, 2014; 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.