Jacquelyn Villagomez Daneshforouz, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

8530 W Sunset Rd Ste 230
Las Vegas, NV 89113

Phone

(702) 483-4483

Fax

(702) 483-4493

NPI assigned

Sep 19, 2016

Sex

Female

Sole proprietor

Yes

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

Enrolled in DC, NV, VA3 enrollments

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 3

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

DRS Moshyedi and Mostaghim MD PAGroup PAC ID 2769507979, 6 clinicians

Kim Chen PLLCGroup PAC ID 3971813379, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.52 of 100Reported as group

Quality

56.13

Promoting interoperability

98

Improvement activities

40

Cost

80.61

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Kim Chen PLLC

  dba Comprehensive Digestive Institute of Nevada

  • Gastroenterology Physician
  • Las Vegas, NV
  • NPI 1881078418
  Medicare reassignment Care Compare group
• DRS Moshyedi & Mostaghim MD PA

  • Gastroenterology Physician
  • Greenbelt, MD
  • NPI 1942526561

  DC

  Medicare reassignment Care Compare group
• Affiliated Specialists, LLC

  • Gastroenterology Physician
  • Lanham, MD
  • NPI 1376091355

  DC

  Medicare reassignment
• Gastroenterology Associates of Northern Virginia, LLC

  • Gastroenterology Physician
  • Fairfax, VA
  • NPI 1205884368
  Medicare reassignment
• Shock Trauma Associates, P.a.

  dba Shock Trauma Associates

  • Emergency Care Clinic/Center
  • Baltimore, MD
  • NPI 1679512909

  DC

  Medicare reassignment
• Old Dominion Anesthesia LLC

  • Anesthesiology Physician
  • Charlottesville, VA
  • NPI 1902248677
  NPD (past)

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1649728775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 SAINT ROSE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524806",
            "telephone_number": "702-483-4483",
            "fax_number": "702-493-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 W SUNSET RD STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89113",
            "telephone_number": "702-483-4483",
            "fax_number": "702-483-4493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 Fire Mesa St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891289017",
            "country_code": "US",
            "telephone_number": "702-483-4483",
            "fax_number": "702-430-6175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2863 Saint Rose Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524806",
            "country_code": "US",
            "telephone_number": "702-483-4483",
            "fax_number": "702-430-6175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANESHFOROUZ",
        "first_name": "JACQUELYN",
        "middle_name": "VILLAGOMEZ",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nephaterie Dandridge
• Courtney Dandy Fralick, LMFT, LCADC-INTERN
• Crystal Dandy
• Jason Danels
• Peyman Danesh
• Ebony A Danford
• Jermaine Joshua Danford
• Robert Arden Danforth, DDS
• Bachtrinh Nguyenthi Dang
• Brian Dang

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.