Individual provider Active NPI

Benjamin Sham, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1285117184
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3101 Issued in NV
Practice address
7195 Advanced Way
Las Vegas, NV 89113-3691
Phone
(702) 740-5327
Fax
(702) 740-5328
NPI assigned
Sep 7, 2018
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA55915 CA
Physician Assistant 363A00000X PA3101 NV Primary

Addresses

Primary practice location

7195 Advanced Way
Las Vegas, NV 89113-3691

Mailing address

7195 Advanced Way
Las Vegas, NV 89113-3691
Phone (702) 740-5327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181119001735 CA Practitioner - Physician Assistant 0446504062 Reassigns benefits to 1 organization
I20250715001907 NV Practitioner - Physician Assistant 0446504062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2904 W Horizon Ridge Pkwy
Suite 101
Henderson, NV 89052-5016
Phone (702) 740-5327

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
55915CAMDDentist
PA3101NVMDPhysician Assistant
PA55915CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yee Advanced Orthopedics and Sports Medicine PC CurrentSince Jun 30, 2025 Accepting new patients
Pacific Orthopaedic Medical Group, Inc CurrentSince Sep 1, 2019 Accepting new patients

Locations

707 S Garfield Ave
Ste 201
Alhambra, CA 91801
Phone (626) 656-1260

2904 W Horizon Ridge Pkwy
Ste 101
Henderson, NV 89052
Phone (702) 292-3774

7195 Advanced Way
Las Vegas, NV 89113

8230 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 944-2001

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1285117184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7195 ADVANCED WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133691",
            "telephone_number": "702-740-5327",
            "fax_number": "702-740-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7195 ADVANCED WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133691",
            "telephone_number": "702-740-5327",
            "fax_number": "702-740-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAM",
        "first_name": "BENJAMIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-07",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA55915",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA3101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.