Mia Marie Caravantes

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

363AM0700X

Practice address

3910 Pecos McLeod Ste C170
Las Vegas, NV 89121-7419

Phone

(725) 735-5278

NPI assigned

Feb 13, 2025

Last updated

Feb 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1477358562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 PECOS MCLEOD STE C170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217419",
            "telephone_number": "725-735-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 PECOS MCLEOD STE C170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217419",
            "telephone_number": "725-735-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAVANTES",
        "first_name": "MIA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": "363AM0700X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charissa Marie Rustia Carag, M.D.
• Adora Caramanzana
• Rosemarie E Carandang, FNP
• Christian Ariana Malimban Caranto
• Joan Rueter Carapucci, PA-C
• Peter Anthony Caravella, MD
• Lauren Kathryn Caravello, LICSW, LCSW
• Jessica Caraveo
• Ernest Vernon III Caraway
• John Caraway, DO

• Medical Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.