Active NPI
Aaron P Tate, PA-C
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1619122199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1176
- Practice address
- 2800 E Desert Inn Rd
Suite #100
Las Vegas, NV 89121-3608 - Phone
- (702) 731-1616
- Fax
- (702) 731-0741
- NPI assigned
- Nov 25, 2008
- Last updated
- Jul 2, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6379 | AZ | |
| Physician Assistant | 363A00000X | PA1176 | NV | Primary |
Addresses
Primary practice location
2800 E Desert Inn Rd
Suite #100
Las Vegas, NV 89121-3608
Mailing address
2800 E Desert Inn Rd
Suite #100
Las Vegas, NV 89121-3608
Phone (702) 731-1616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6379 | AZ | MD | Physician Assistant |
| PA1176 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Physical Therapy and Rehabilation Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1912053752
-
- Specialist
- Salt Lake City, UT
- NPI 1427217405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1619122199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 E DESERT INN RD",
"address_2": "SUITE #100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213608",
"telephone_number": "702-731-1616",
"fax_number": "702-731-0741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E DESERT INN RD",
"address_2": "SUITE #100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213608",
"telephone_number": "702-731-1616",
"fax_number": "702-731-0741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "AARON",
"middle_name": "P",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-25",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "6379",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.