Daniel Sam Sandoval Acierto

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

831466 Issued in NV

Practice address

2645 W Horizon Ridge Pkwy Ste 120
Henderson, NV 89052-2899

Phone

(702) 790-2211

Fax

(702) 790-2316

NPI assigned

Aug 18, 2020

Last updated

Jul 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sagebrush Medical Center LLCGroup PAC ID 6901187020, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sagebrush Medical Center, LLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1053865840
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1528670866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3097 E WARM SPRINGS RD STE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203757",
            "telephone_number": "702-790-2211",
            "fax_number": "702-790-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 W HORIZON RIDGE PKWY STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522899",
            "telephone_number": "702-790-2211",
            "fax_number": "702-790-2316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3097 E Warm Springs Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891203757",
            "country_code": "US",
            "telephone_number": "702-790-2211",
            "fax_number": "702-790-2316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8660 Spring Mountain Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891174101",
            "country_code": "US",
            "telephone_number": "702-790-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACIERTO",
        "first_name": "DANIEL SAM",
        "middle_name": "SANDOVAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-18",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "831466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRN-CNP",
            "identifier": "831466",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Accuro, Inc
• Ace Chiropractic Nevada LTD (Kieth L Quisberg DC)
• Aces Anesthesia LLC
• Ines Acevedo, PSY.D
• Achilles Foot and Ankle Specialist PLLC
• Acme Solution Medical Group LLC
• Stephanie Robianes Acoba, APRN-CNP
• June Marie Acompanado, OTR/L
• Dominic Acosta, PHARMD
• Aman Tesfaye Acquah

• Family Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.