NPIMap

Individual provider Active NPI

Andrea Abaloni Eghterafi, PA-C

  • Surgical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1366916082
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA2088 Issued in NV
Practice address
8930 W Sunset Rd Ste 300
Las Vegas, NV 89148-5013
Phone
(702) 258-7788
NPI assigned
Jan 15, 2019
Last updated
Jan 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA2088 NV Primary

Addresses

Primary practice location

8930 W Sunset Rd Ste 300
Las Vegas, NV 89148-5013

Mailing address

8930 W Sunset Rd Ste 300
Las Vegas, NV 89148-5013
Phone (702) 258-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200108000643 NV Practitioner - Physician Assistant 1254673973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LV Surgery Associates PLLCGroup PAC ID 2668840174, 25 clinicians

Practice addresses (Care Compare)

8930 W Sunset Rd
Suite 300
Las Vegas, NV 89148-5013
Phone (702) 258-7788

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2088NVMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Vegas Vascular Specialists PLLC PastSince May 22, 2022 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1366916082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 W SUNSET RD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485013",
            "telephone_number": "702-258-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 W SUNSET RD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485013",
            "telephone_number": "702-258-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGHTERAFI",
        "first_name": "ANDREA",
        "middle_name": "ABALONI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NV",
            "license": "PA2088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.