Active NPI
Heather Tamburrino, PA-C
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1386764116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1390
- Practice address
- 8053 N Durango Dr Ste 160
Las Vegas, NV 89131-8322 - Phone
- (702) 960-4486
- Fax
- (884) 751-3539
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601004975 | MI | |
| Physician Assistant | 363A00000X | 53283 | CA | |
| Physician Assistant | 363A00000X | PA1390 | NV | Primary |
Addresses
Primary practice location
8053 N Durango Dr Ste 160
Las Vegas, NV 89131-8322
Mailing address
8053 N Durango Dr Ste 160
Las Vegas, NV 89131-8322
Phone (702) 960-4486
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA1390 | Other | NV | NSBME |
| CS20630 | Other | NV | NV PHARMACY |
| 1386764116 | Other | NPI | |
| 5601004975 | Other | MI | MICHIGAN LARA |
| GW483Z | Other | NV | MEDICARE |
| PA1390 | Other | NV | STATE OF NV BOARD OF MEDICAL EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53283 | CA | MD | Dentist |
| 5601004975 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Urgent Care | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Las Vegas, NV
- NPI 1578478673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1386764116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8053 N DURANGO DR STE 160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891318322",
"telephone_number": "702-960-4486",
"fax_number": "884-751-3539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8053 N DURANGO DR STE 160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891318322",
"telephone_number": "702-960-4486",
"fax_number": "884-751-3539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMBURRINO",
"first_name": "HEATHER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601004975",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "53283",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSBME",
"identifier": "PA1390",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NV PHARMACY",
"identifier": "CS20630",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1386764116",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN LARA",
"identifier": "5601004975",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "GW483Z",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NV BOARD OF MEDICAL EXAMINERS",
"identifier": "PA1390",
"state": "NV"
}
],
"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 Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.