Active NPI
Anthony Padilla, PA-C
- Physician Assistant
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA0726
- Practice address
- 1669 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89012-3516 - Phone
- (702) 781-4800
- Fax
- (702) 664-6755
- NPI assigned
- Nov 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA0726 | NV | Primary |
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
1669 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89012-3516
Mailing address
3459 Saint Rose Pkwy Ste 120-481
Henderson, NV 89052-4601
Phone (702) 781-4800
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1409 E Lake Mead Blvd
North Las Vegas, NV 89030-7120
Phone (702) 946-7711
1669 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89012-3516
Phone (702) 781-4800
3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone (702) 616-5000
620 Shadow LN
Las Vegas, NV 89106-4119
Phone (702) 388-4000
8280 W Warm Springs Rd
Las Vegas, NV 89113-3612
Phone (702) 492-8000
Hospital & facility affiliations
- North Vista Hospital
- Saint Rose Dominican Hospitals - Siena Campus
- Saint Rose Dominican Hospitals - San Martin Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0726 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rajiv P Amesur DO PC | Multi-Specialty | Current | Accepting new patients |
Locations
3459 Saint Rose Pkwy
#120481
Henderson, NV 89052
3459 Saint Rose Pkwy
Ste 120481
Henderson, NV 89052
1669 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89012
Phone (702) 781-4800
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- Henderson, NV
- NPI 1245058197
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1528101284
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1770626426
-
- General Acute Care Hospital
- North Las Vegas, NV
- NPI 1720037799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1275356644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3459 SAINT ROSE PKWY STE 120-481",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524601",
"telephone_number": "702-781-4800",
"fax_number": "702-664-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1669 W HORIZON RIDGE PKWY STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890123516",
"telephone_number": "702-781-4800",
"fax_number": "702-664-6755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "ANTHONY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-05",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA0726",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.