Individual provider Active NPI

Jonathan Vaya, BA

  • Rehabilitation Practitioner
  • Las Vegas, NV
National Provider Identifier
1659126456
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
2595 S Cimarron Rd Ste 107
Las Vegas, NV 89117-2697
Phone
(702) 430-7987
NPI assigned
Apr 23, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

2595 S Cimarron Rd Ste 107
Las Vegas, NV 89117-2697

Mailing address

2595 S Cimarron Rd Ste 107
Las Vegas, NV 89117-2697
Phone (702) 430-7987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
A Royal Behavioral Agency LLC CurrentSince Apr 28, 2024 Accepting new patients

Locations

2595 S Cimarron Rd
Ste 107
Las Vegas, NV 89117
Phone (702) 430-7987

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": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1659126456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 S CIMARRON RD STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172697",
            "telephone_number": "702-430-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 S CIMARRON RD STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172697",
            "telephone_number": "702-430-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYA",
        "first_name": "JONATHAN",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "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 Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.