NPIMap

Organization Active NPI

Arcadian LLC

Doing business as Vital Wound Care

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1285402164
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ARCADIAN LLC
Doing business as
Vital Wound Care
Practice address
5550 S Fort Apache Rd Ste 103
Las Vegas, NV 89148-7667
Phone
(702) 889-0100
Fax
(702) 889-3331
NPI assigned
Dec 19, 2023
Last updated
Jan 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Azzeddine Azzat
Title
Cfo
Phone
(702) 899-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

5550 S Fort Apache Rd Ste 103
Las Vegas, NV 89148-7667

Mailing address

5550 S Fort Apache Rd Ste 103
Las Vegas, NV 89148-7667
Phone (702) 899-0100

Other names 1

  • Vital Wound Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240119002767 NV Part B Supplier - Clinic/Group Practice 6305298860 Receives reassigned benefits from 13 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

5510 S Fort Apache Rd
Ste 103
Las Vegas, NV 89148
Phone (702) 899-0100

5550 S Fort Apache Rd
Las Vegas, NV 89148
Phone (702) 899-0100

5550 S Fort Apache Rd
Ste 103
Las Vegas, NV 89148
Phone (702) 889-0100

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1285402164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 S FORT APACHE RD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487667",
            "telephone_number": "702-899-0100",
            "fax_number": "702-899-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 S FORT APACHE RD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487667",
            "telephone_number": "702-889-0100",
            "fax_number": "702-889-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "AZZAT",
        "authorized_official_first_name": "AZZEDDINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "702-899-0100"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.