Individual provider Active NPI

Samantha George Laub, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1295330462
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0494 Issued in NV
Practice address
6190 S Fort Apache Rd
Las Vegas, NV 89148-6702
Phone
(702) 485-5885
Fax
(888) 593-7092
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA0494 NV
Physician Assistant 363A00000X PA0494 NV Primary

Addresses

Primary practice location

6190 S Fort Apache Rd
Las Vegas, NV 89148-6702

Mailing address

6190 S Fort Apache Rd
Las Vegas, NV 89148-6702
Phone (702) 485-5885

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210317002502 NV Practitioner - Physician Assistant 3375959364 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W Ralston McGee II PLLCGroup PAC ID 9931588258, 4 clinicians

Practice addresses (Care Compare)

6190 S Fort Apache Rd
Las Vegas, NV 89148-6702
Phone (702) 485-5885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0494NVMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Surgery Specialists of Nevada Young LLP CurrentSince Mar 1, 2024 Accepting new patients
Hand Surgery Specialists of Nevada Young LLP CurrentSince Mar 1, 2024 Accepting new patients

Locations

9321 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 216-9304

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.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1295330462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 S FORT APACHE RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486702",
            "telephone_number": "702-485-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 S FORT APACHE RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486702",
            "telephone_number": "702-485-5885",
            "fax_number": "888-593-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUB",
        "first_name": "SAMANTHA",
        "middle_name": "GEORGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NV",
            "license": "PA0494",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA0494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.