Individual provider Active NPI

Victor Zaghen, NURSE PRACTITIONER

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1235846361
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
820989 Issued in NV
Practice address
3365 E Flamingo Rd Ste 2
Las Vegas, NV 89121-7440
Phone
(702) 457-3888
Fax
(702) 974-2199
NPI assigned
Oct 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 820989 NV Primary

Addresses

Primary practice location

3365 E Flamingo Rd Ste 2
Las Vegas, NV 89121-7440

Mailing address

3365 E Flamingo Rd Ste 2
Las Vegas, NV 89121-7440
Phone (702) 457-3888

Other practice location 1

4966 S Rainbow Blvd Ste 100
Las Vegas, NV 89118-1431
Phone (702) 475-4898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
820989NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aquino-Vitality Medical Group PastSince Oct 30, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1235846361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 E FLAMINGO RD STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217440",
            "telephone_number": "702-457-3888",
            "fax_number": "702-974-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 E FLAMINGO RD STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217440",
            "telephone_number": "702-457-3888",
            "fax_number": "702-974-2199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4966 S Rainbow Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891181431",
            "country_code": "US",
            "telephone_number": "702-475-4898",
            "fax_number": "702-974-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAGHEN",
        "first_name": "VICTOR",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "820989",
            "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 Nov 8, 2022; 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.