Active NPI
Leonard Paulo, FNP-C
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1396446381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 829793
- Practice address
- 1820 E Sahara Ave Ste 201
Las Vegas, NV 89104-3721 - Phone
- (702) 984-8875
- NPI assigned
- Mar 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 829793 | NV | Primary |
Addresses
Primary practice location
1820 E Sahara Ave Ste 201
Las Vegas, NV 89104-3721
Mailing address
1820 E Sahara Ave Ste 201
Las Vegas, NV 89104-3721
Phone (702) 984-8875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 829793 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lan N Nguyen DO PC | Current | Accepting new patients |
Locations
3750 Convoy St
Ste 201
San Diego, CA 92111
Phone (858) 278-8031
Organizations & group practices 1
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.
-
- Orthopaedic Trauma Physician
- San Diego, CA
- NPI 1104214238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1396446381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 E SAHARA AVE STE 201",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891043721",
"telephone_number": "702-984-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 E SAHARA AVE STE 201",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891043721",
"telephone_number": "702-984-8875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULO",
"first_name": "LEONARD",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-15",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "829793",
"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 Mar 15, 2023; 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.