Individual provider Active NPI

Kevin Steven Lopez, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1649938259
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2569 Issued in NV
Practice address
3201 S Maryland Pkwy Ste 608
Las Vegas, NV 89109-2428
Phone
(702) 457-5437
Fax
(702) 464-5801
NPI assigned
Nov 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2569 NV Primary

Addresses

Primary practice location

3201 S Maryland Pkwy Ste 608
Las Vegas, NV 89109-2428

Mailing address

3201 S Maryland Pkwy Ste 608
Las Vegas, NV 89109-2428
Phone (702) 457-5437

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
I20260623004308 NV Practitioner - Physician Assistant 5193298982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 W County Line Rd
Suite 230
Highlands Ranch, CO 80129-1903

3201 S Maryland Pkwy
Suite 608
Las Vegas, NV 89109-2428

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harold Zilberman M D CHTD Past Accepting new patients

Organizations & group practices 1

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": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1649938259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S MARYLAND PKWY STE 608",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092428",
            "telephone_number": "702-457-5437",
            "fax_number": "702-464-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S MARYLAND PKWY STE 608",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092428",
            "telephone_number": "702-457-5437",
            "fax_number": "702-464-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "KEVIN",
        "middle_name": "STEVEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-30",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.