Active NPI
Jay Salagubang, REGISTERED NURSE
- Psychiatric/Mental Health Registered Nurse
- North Las Vegas, NV
National Provider Identifier
1134769029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN60918
- Practice address
- 1409 E Lake Mead Blvd
North Las Vegas, NV 89030-7120 - Phone
- (706) 657-5754
- NPI assigned
- Jan 9, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Registered Nurse | 163WR0400X | RN60918 | NV | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN60918 | NV | Primary |
Addresses
Primary practice location
1409 E Lake Mead Blvd
North Las Vegas, NV 89030-7120
Mailing address
4241 Woodcrest Rd
Las Vegas, NV 89121-4941
Phone (702) 461-3561
Other practice location 1
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone (702) 791-9000
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN60918 | NV | MD | Rehabilitation Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1134769029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4241 WOODCREST RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891214941",
"telephone_number": "702-461-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 E LAKE MEAD BLVD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890307120",
"telephone_number": "706-657-5754"
}
],
"practiceLocations": [
{
"address_1": "6900 N Pecos Rd",
"address_purpose": "LOCATION",
"city": "North Las Vegas",
"state": "NV",
"postal_code": "890864400",
"country_code": "US",
"telephone_number": "702-791-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALAGUBANG",
"first_name": "JAY",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-09",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "NV",
"license": "RN60918",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NV",
"license": "RN60918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North 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 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.