Individual provider Active NPI

Ryan Cho, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1477070670
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0381 Issued in NV
Practice address
1706 W Bonanza Rd
Las Vegas, NV 89106-4704
Phone
(702) 631-6860
Fax
(702) 631-6864
NPI assigned
Aug 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA0381 NV Primary

Addresses

Primary practice location

1706 W Bonanza Rd
Las Vegas, NV 89106-4704

Mailing address

1706 W Bonanza Rd
Las Vegas, NV 89106-4704
Phone (702) 631-6860

Other practice location 1

1706 W Bonanza Rd
Las Vegas, NV 89106-4704
Phone (702) 631-6860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171227002006 NV Practitioner - Physician Assistant 5092073841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doyne Medical Clinic IncGroup PAC ID 1951380955, 2 clinicians

Practice addresses (Care Compare)

1706 W Bonanza Rd
Las Vegas, NV 89106-4704
Phone (702) 631-6860

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA0381NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DMC Medical Clinic LTD PastSince Mar 11, 2025 Accepting new patients
William Moffat DO PLLC PastSince Jul 6, 2025 Accepting new patients

Organizations & group practices 3

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": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1477070670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 W BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064704",
            "telephone_number": "702-631-6860",
            "fax_number": "702-631-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 W BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064704",
            "telephone_number": "702-631-6860",
            "fax_number": "702-631-6864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1706 W Bonanza Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064704",
            "country_code": "US",
            "telephone_number": "702-631-6860",
            "fax_number": "702-631-6864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-28",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA0381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.