Active NPI
Alia Jabali
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1275832008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1261
- Practice address
- 3835 S Jones Blvd Ste 104
Las Vegas, NV 89103-2283 - Phone
- (702) 880-4193
- NPI assigned
- Mar 18, 2011
- Sex
- Female
- 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 | 5654 | AZ | |
| Physician Assistant | 363A00000X | PA1261 | NV | Primary |
Addresses
Primary practice location
3835 S Jones Blvd Ste 104
Las Vegas, NV 89103-2283
Mailing address
3835 S Jones Blvd Ste 104
Las Vegas, NV 89103-2283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5654 | AZ | MD | Dentist |
| PA1261 | NV | MD | Physician Assistant |
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1275832008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 S JONES BLVD STE 104",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891032283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3835 S JONES BLVD STE 104",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891032283",
"telephone_number": "702-880-4193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABALI",
"first_name": "ALIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-18",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "5654",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1261",
"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 Feb 21, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.