Julio Arvie Mata Madarazo Jr., MSN, APRN-CNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

810265 Issued in NV

Practice address

6284 Canvasback Ave
Las Vegas, NV 89122-3545

Phone

(408) 300-4540

NPI assigned

Oct 14, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Valley Primary Care Center LLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1568659381
  Medicare reassignment NPD
• Vista Medical Associates LLC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1962403121
  Medicare reassignment NPD

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1144828849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6284 CANVASBACK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891223545",
            "telephone_number": "408-300-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6284 CANVASBACK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891223545",
            "telephone_number": "408-300-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADARAZO",
        "first_name": "JULIO ARVIE",
        "middle_name": "MATA",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSN, APRN-CNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "810265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madame Amuse Beauty RX
• Niloufar Madani-Weiss
• Alex Madani, DMD
• Ali Alain Madani, MD, PHD
• Kendra Claire Madaras-Kelly, DO
• Cristy Madariaga
• Angelia Madaris
• Ashkhen Madaryan
• Grigor Madaryan
• Hripsime Sima Madaryan

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.