Cristina Victoria Landa, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

895 Adams Blvd
Boulder City, NV 89005-2235

Phone

(702) 293-0406

Fax

(702) 293-0192

NPI assigned

May 5, 2021

Sex

Female

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

Enrolled in NV

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Warren L Smith LTDGroup PAC ID 6800842980, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Warren L Smith LTD

  • Family Medicine Physician
  • Boulder City, NV
  • NPI 1790969590
  Medicare reassignment Care Compare group
• Herve Bezard MD LTD

  • Family Medicine Physician
  • Boulder City, NV
  • NPI 1699959494
  NPD
• Jim C Chiang MD LTD

  • Family Medicine Physician
  • Boulder City, NV
  • NPI 1710161518
  NPD
• Sally Nahhas DO LTD

  • Family Medicine Physician
  • Boulder City, NV
  • NPI 1831917293
  NPD

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1104400282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 ADAMS BLVD",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052235",
            "telephone_number": "702-293-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 ADAMS BLVD",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052235",
            "telephone_number": "702-293-0406",
            "fax_number": "702-293-0192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1971 E 4th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053917",
            "country_code": "US",
            "telephone_number": "888-959-5192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDA",
        "first_name": "CRISTINA",
        "middle_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine M Ping, Acsw, LCSW PC
• Melanie La May
• Sabrina La Velle
• Lake Mountain Chiropractic, Inc
• Christine Lamarca
• Patrick James Landon, PTA
• Chandra Ella Larocque, DOULA
• Christopher Larue
• Alyssa Lasoff, LCSW
• Vincent Laub

• Physician Assistant in Boulder City, NV
• Providers in Boulder City, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.