Gerardo A Mariano

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

297-AGC-32 Issued in NV

Practice address

4462 Farmcrest Dr
Las Vegas, NV 89121-4906

Phone

(702) 433-2879

NPI assigned

Jun 7, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced House Calls Inc

  • Specialist
  • Las Vegas, NV
  • NPI 1295732451
  NPD (past)
• Paradise Crest Home Care

  • Adult Care Home Facility
  • Las Vegas, NV
  • NPI 1922794445
  NPD (past)

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1366001950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4462 FARMCREST DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214906",
            "telephone_number": "702-433-2879",
            "fax_number": "702-433-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4462 FARMCREST DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214906",
            "telephone_number": "702-433-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "GERARDO",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NV",
            "license": "297-AGC-32",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260502327",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Pilar Faylona, M.D. PC
• Maria Sabanico Aprn P PLLC
• Maria Stella Gaerlan MD PC
• Tadelu W Mariam
• Chris Elaine L Mariano, APN
• Jeanine Mariano
• Jennifer Mariano
• Michael John C. Mariano, APRN
• Minnie Mariano
• Ruel Mariano, NP

• Assisted Living Facility (Mental Illness) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Assisted Living Facility (Mental Illness) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.