Active NPI
Bernado Baca Luna
- Attendant Care Provider
- Las Vegas, NV
National Provider Identifier
1114425899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 4550 W Oakey Blvd
Las Vegas, NV 89102-1581 - Phone
- (702) 822-1253
- Fax
- (702) 822-1336
- NPI assigned
- Jan 26, 2018
- Last updated
- Jan 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Primary |
Addresses
Primary practice location
4550 W Oakey Blvd
Las Vegas, NV 89102-1581
Mailing address
1809 Las Verdes St
Las Vegas, NV 89102-3866
Phone (702) 378-6262
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1114425899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 LAS VERDES ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891023866",
"telephone_number": "702-378-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 W OAKEY BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021581",
"telephone_number": "702-822-1253",
"fax_number": "702-822-1336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACA LUNA",
"first_name": "BERNADO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-26",
"last_updated": "2018-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"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 Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.