Individual provider Active NPI

Leonard Paulo, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1396446381
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
829793 Issued in NV
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

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
829793NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lan N Nguyen DO PC CurrentSince Feb 13, 2024 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.

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

Verify at the official NPI Registry.