Individual provider Active NPI

Samir Bill Nassar

  • Non-emergency Medical Transport (VAN)
  • Las Vegas, NV
National Provider Identifier
1316537632
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
103TH0100X Issued in CA
Practice address
3663 E Sunset Rd Ste 201a
Las Vegas, NV 89120-3246
Phone
(702) 881-4033
Fax
(702) 780-4441
NPI assigned
Jan 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 103TH0100X CA Primary

Addresses

Primary practice location

3663 E Sunset Rd Ste 201a
Las Vegas, NV 89120-3246

Mailing address

3663 E Sunset Rd Ste 201a
Las Vegas, NV 89120-3246
Phone (702) 881-4033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103TH0100XCAMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1316537632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 E SUNSET RD STE 201A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203246",
            "telephone_number": "702-881-4033",
            "fax_number": "702-780-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 E SUNSET RD STE 201A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203246",
            "telephone_number": "702-881-4033",
            "fax_number": "702-780-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSAR",
        "first_name": "SAMIR",
        "middle_name": "BILL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "103TH0100X",
            "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 Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.