Individual provider Active NPI

Jose Caballes

  • Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1104756253
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
826159 Issued in NV
Practice address
9840 Moonrise Bay CT
Las Vegas, NV 89141-8839
Phone
(831) 578-3494
NPI assigned
May 20, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 826159 NV Primary

Addresses

Primary practice location

9840 Moonrise Bay CT
Las Vegas, NV 89141-8839

Mailing address

9840 Moonrise Bay CT
Las Vegas, NV 89141-8839
Phone (831) 578-3494

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
826159NVMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1104756253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 MOONRISE BAY CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418839",
            "telephone_number": "831-578-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 MOONRISE BAY CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418839",
            "telephone_number": "831-578-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLES",
        "first_name": "JOSE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "826159",
            "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 May 20, 2026; 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.