Individual provider Active NPI

Arthur A Paniagua, PAC

  • Physician Assistant
  • Carson City, NV
National Provider Identifier
1164472528
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA932 Issued in NV
Practice address
1950 College Pkwy
Carson City, NV 89706-7988
Phone
(775) 347-9343
Fax
(775) 541-0808
NPI assigned
May 10, 2006
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA16163 CA
Physician Assistant 363A00000X PA932 NV Primary

Addresses

Primary practice location

1950 College Pkwy
Carson City, NV 89706-7988

Mailing address

1950 College Pkwy Ste 102
Carson City, NV 89706-7983
Phone (775) 882-0430

Other identifiers 1

IdentifierTypeStateIssuer
100509025MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040913000616 CA Practitioner - Physician Assistant 8224005988 Reassigns benefits to 1 organization
I20060505000728 NV Practitioner - Physician Assistant 8224005988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Higher Dimensions of Healing LLCGroup PAC ID 0941740351, 3 clinicians

Practice addresses (Care Compare)

1950 College Pkwy
Suite 102
Carson City, NV 89706-7983
Phone (415) 225-0655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA16163CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western Sierra Medical Clinic, Inc. CurrentSince Nov 30, 2020 Accepting new patients
Jorge Perez MD LTD Past Accepting new patients
True North Health Navigation LLC Past Accepting new patients

Locations

844 Old Tunnel Rd
Grass Valley, CA 95945
Phone (530) 273-4984

Interoperability endpoints

  • Direct secure messaging: arthur.paniagua.p1@direct.nevadahealthcenters.nextgenshare.com

Organizations & group practices 5

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1164472528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 COLLEGE PKWY STE 102",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897067983",
            "telephone_number": "775-882-0430",
            "fax_number": "775-541-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 COLLEGE PKWY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897067988",
            "telephone_number": "775-347-9343",
            "fax_number": "775-541-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANIAGUA",
        "first_name": "ARTHUR",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16163",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509025",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.