Individual provider Active NPI

Abraham Joshua Calderon Cabuay, APRN

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1144934480
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
862120 Issued in NV
Practice address
321 N Pecos Rd Ste 200
Henderson, NV 89074-1348
Phone
(702) 263-4925
Fax
(702) 263-6874
NPI assigned
Jan 11, 2023
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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 862120 NV Primary

Addresses

Primary practice location

321 N Pecos Rd Ste 200
Henderson, NV 89074-1348

Mailing address

321 N Pecos Rd Ste 200
Henderson, NV 89074-1348
Phone (702) 263-4925

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230913003031 NV Practitioner - Nurse Practitioner 6901260678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

321 N Pecos Rd
Suite 200
Henderson, NV 89074-1348
Phone (702) 263-4925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
862120NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golan Integrated Physical Medicine CurrentSince Jul 17, 2023 Accepting new patients
Golan Integrated Physical Medicine CurrentSince Jul 17, 2023 Accepting new patients

Locations

321 N Pecos Rd
Ste 200
Henderson, NV 89074
Phone (702) 263-4925

6592 N Decatur Blvd
Ste 115
Las Vegas, NV 89131
Phone (702) 396-4993

3841 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 577-5829

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1144934480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N PECOS RD STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741348",
            "telephone_number": "702-263-4925",
            "fax_number": "702-263-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N PECOS RD STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741348",
            "telephone_number": "702-263-4925",
            "fax_number": "702-263-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABUAY",
        "first_name": "ABRAHAM JOSHUA",
        "middle_name": "CALDERON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "862120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.