Individual provider Active NPI

Richard Luna Talusan, NP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1104883651
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NV000766 Issued in NV
Practice address
7235 S Buffalo Dr
VA Southwest Primary Care Clinic
Las Vegas, NV 89113-4040
Phone
(702) 791-9040
Fax
(702) 365-3093
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NV000766 NV Primary

Addresses

Primary practice location

7235 S Buffalo Dr
VA Southwest Primary Care Clinic
Las Vegas, NV 89113-4040

Mailing address

7235 S Buffalo Dr
VA Southwest Primary Care Clinic
Las Vegas, NV 89113-4040
Phone (702) 791-9040

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
333316NYMDLicensed Practical Nurse
NV000766NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1104883651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 S BUFFALO DR",
            "address_2": "VA SOUTHWEST PRIMARY CARE CLINIC",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134040",
            "telephone_number": "702-791-9040",
            "fax_number": "702-365-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 S BUFFALO DR",
            "address_2": "VA SOUTHWEST PRIMARY CARE CLINIC",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134040",
            "telephone_number": "702-791-9040",
            "fax_number": "702-365-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALUSAN",
        "first_name": "RICHARD",
        "middle_name": "LUNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "NV000766",
            "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 31, 2013; 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.