Individual provider Active NPI

Conrado D Ferrer, PAC

  • Medical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1487741922
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
109 Issued in NV
Practice address
4100 W Flamingo Road
Suite 2100
Las Vegas, NV 89103
Phone
(702) 822-5000
Fax
(702) 822-5001
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 109 NV Primary

Addresses

Primary practice location

4100 W Flamingo Road
Suite 2100
Las Vegas, NV 89103

Mailing address

7632 Cruz Bay CT
Las Vegas, NV 89128-7284
Phone (702) 280-2240

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
I20051018000227 NV Practitioner - Physician Assistant 3375569593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Western University of Health Sciences College of Dental Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

149 N Gibson Rd
Suite H
Henderson, NV 89014-6763
Phone (702) 558-6275

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109NVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Jun 23, 2017 Accepting new patients
American Current Care PA CurrentSince Jun 23, 2017 Accepting new patients

Locations

149 N Gibson Rd
Ste H
Henderson, NV 89014
Phone (702) 558-6275

255 Glendale Ave
Ste 12
Sparks, NV 89431
Phone (775) 356-8181

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1487741922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7632 CRUZ BAY CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287284",
            "telephone_number": "702-280-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W FLAMINGO ROAD",
            "address_2": "SUITE 2100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89103",
            "telephone_number": "702-822-5000",
            "fax_number": "702-822-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRER",
        "first_name": "CONRADO",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.