Individual provider Active NPI

Saul Yaz

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1073046181
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
IC-1093 Issued in NV
Practice address
4560 S Eastern Ave Ste 13
Las Vegas, NV 89119-6182
Phone
(702) 401-0811
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IC-1093 NV Primary

Addresses

Primary practice location

4560 S Eastern Ave Ste 13
Las Vegas, NV 89119-6182

Mailing address

4560 S Eastern Ave Ste 13
Las Vegas, NV 89119-6182
Phone (702) 401-0811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IC-1093NVMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1073046181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 S EASTERN AVE STE 13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196182",
            "telephone_number": "702-401-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 S EASTERN AVE STE 13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196182",
            "telephone_number": "702-401-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZ",
        "first_name": "SAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-1093",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 5, 2017; 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.