Organization Active NPI

Luke V. Desjarlais, PLLC

  • Surgical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1184977555
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA1333 Issued in NV
Legal business name
LUKE V. DESJARLAIS, PLLC
Practice address
9035 Westchester Hill Ave
Las Vegas, NV 89148-4926
Phone
(702) 415-3463
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Luke V Desjarlais, PAC
Title
Ceo
Phone
(702) 415-3463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X PA1333 NV Primary

Addresses

Primary practice location

9035 Westchester Hill Ave
Las Vegas, NV 89148-4926

Mailing address

9035 Westchester Hill Ave
Las Vegas, NV 89148-4926

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1184977555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9035 WESTCHESTER HILL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9035 WESTCHESTER HILL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484926",
            "telephone_number": "702-415-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKE V. DESJARLAIS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "DESJARLAIS",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-415-3463",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "NV",
            "license": "PA1333",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.