Active NPI
Anna-Lizette Matias Angat
- Contractor
- Las Vegas, NV
National Provider Identifier
1114229333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 4215 E Boston Ave
Las Vegas, NV 89104-5305 - Phone
- (702) 505-1208
- NPI assigned
- Nov 19, 2010
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4215 E Boston Ave
Las Vegas, NV 89104-5305
Mailing address
3933 Captain Jon Ave
Las Vegas, NV 89104-5024
Phone (702) 485-1575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 19, 2010.
{
"created_epoch": "1290124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290124800000",
"number": "1114229333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3933 CAPTAIN JON AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891045024",
"telephone_number": "702-485-1575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 E BOSTON AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891045305",
"telephone_number": "702-505-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGAT",
"first_name": "ANNA-LIZETTE",
"middle_name": "MATIAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-19",
"last_updated": "2010-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"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 Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.