Individual provider Active NPI

Carlos Justin Aguon Esparza, APRN, FNP-C

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1336511476
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN002062 Issued in NV
Practice address
5010 S Decatur Blvd Ste G
Las Vegas, NV 89118-4935
Phone
(702) 501-5263
NPI assigned
Oct 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN002062 NV Primary

Addresses

Primary practice location

5010 S Decatur Blvd Ste G
Las Vegas, NV 89118-4935

Mailing address

5010 S Decatur Blvd Ste GH
Las Vegas, NV 89118-4934
Phone (775) 477-2273

Other practice location 1

5575 Simmons St Unit 1-563
North Las Vegas, NV 89031-9009
Phone (702) 823-4255

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
I20160202000352 NV Practitioner - Nurse Practitioner 4183928773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (702) 880-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Emergency Services Scherr LTD CurrentSince Feb 1, 2016 Accepting new patients
Omuc LLC CurrentSince Aug 30, 2023 Accepting new patients
Fremont Emergency Services Scherr LTD Nurse Practitioner CurrentSince Feb 1, 2016 Accepting new patients
Fremont Emergency Services Scherr LTD Nurse Practitioner Past Accepting new patients

Locations

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9002

3186 S Maryland Pkwy
Ste 410
Las Vegas, NV 89109

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100

1501 E Calvada Blvd
Pahrump, NV 89048
Phone (775) 477-2273

Organizations & group practices 4

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": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1336511476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 S DECATUR BLVD STE GH",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891184934",
            "telephone_number": "775-477-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 S DECATUR BLVD STE G",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891184935",
            "telephone_number": "702-501-5263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5575 Simmons St Unit 1-563",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890319009",
            "country_code": "US",
            "telephone_number": "702-823-4255",
            "fax_number": "702-823-3625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPARZA",
        "first_name": "CARLOS",
        "middle_name": "JUSTIN AGUON",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-28",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN002062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.