Individual provider Active NPI

Vic Magbual

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1215728217
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
822365 Issued in NV
Practice address
4222 W Landberg Ave
Las Vegas, NV 89141-8948
Phone
(808) 389-3263
NPI assigned
May 16, 2025
Last updated
May 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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 822365 NV Primary

Addresses

Primary practice location

4222 W Landberg Ave
Las Vegas, NV 89141-8948

Mailing address

4222 W Landberg Ave
Las Vegas, NV 89141-8948
Phone (808) 389-3263

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
I20251030003888 NV Practitioner - Nurse Practitioner 7012417231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Medical CenterGroup PAC ID 9335039783, 12 clinicians

Practice addresses (Care Compare)

1701 Wellness Way
Suite 200
Las Vegas, NV 89106-4146
Phone (702) 310-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Medical Center CurrentSince Sep 3, 2025 Accepting new patients

Locations

5876 S Pecos Rd
Las Vegas, NV 89120
Phone (702) 358-7029

1701 Wellness Way
Ste 200
Las Vegas, NV 89106
Phone (702) 310-9110

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1215728217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 W LANDBERG AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418948",
            "telephone_number": "808-389-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 W LANDBERG AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418948",
            "telephone_number": "808-389-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGBUAL",
        "first_name": "VIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "822365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.