Active NPI
Wardon Adebayo Ojedapo, PA-C
- Medical Physician Assistant
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA2416
- Practice address
- 3131 La Canada St Ste 140
Las Vegas, NV 89169-2579 - Phone
- (702) 304-5725
- Fax
- (702) 304-5725
- NPI assigned
- Apr 5, 2021
- Last updated
- Apr 2, 2026
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA0499 | NV | |
| Medical Physician Assistant | 363AM0700X | PA2416 | NV | Primary |
Addresses
Primary practice location
3131 La Canada St Ste 140
Las Vegas, NV 89169-2579
Mailing address
6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346
Other practice location 1
229 N Pecos Rd
Henderson, NV 89074-7363
Phone (702) 605-5650
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA2416 | Other | NV | LICENSE |
| 1164001392 | Medicaid | NV |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1397 S Loop Rd
Pahrump, NV 89048-4729
Phone (775) 727-5500
2880 N Tenaya Way
Suite 320
Las Vegas, NV 89128-0642
Phone (702) 862-8226
3131 La Canada St
Suite 200
Las Vegas, NV 89169-2579
Phone (702) 369-5582
4880 Wynn Rd
Las Vegas, NV 89103-5406
Phone (702) 871-5005
6355 S Buffalo Dr
Las Vegas, NV 89113-2133
Phone (702) 479-4881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0499 | NV | MD | Medical Physician Assistant |
| PA2416 | NV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Healthcare Partners Medical Group (Coats), LTD. | Past | Accepting new patients | |
| Healthcare Partners Medical Group (Coats) LTD. | Past | Accepting new patients |
Locations
2880 N Tenaya Way
Ste 320
Las Vegas, NV 89128
Phone (702) 862-8226
3131 La Canada St
Ste 140
Las Vegas, NV 89169
Phone (702) 933-9400
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
Interoperability endpoints
- wardonojedapo@hcpnv.allscriptsdirect.net
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1164001392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 S BUFFALO DR FL 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891132133",
"telephone_number": "702-216-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 LA CANADA ST STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891692579",
"telephone_number": "702-304-5725",
"fax_number": "702-304-5725"
}
],
"practiceLocations": [
{
"address_1": "229 N Pecos Rd",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890747363",
"country_code": "US",
"telephone_number": "702-605-5650",
"fax_number": "702-605-5751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OJEDAPO",
"first_name": "WARDON",
"middle_name": "ADEBAYO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-05",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA0499",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA2416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA2416",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164001392",
"state": "NV"
}
],
"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 Apr 2, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.