Individual provider Active NPI

Angelina Sabetta

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Las Vegas, NV
National Provider Identifier
1669210928
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X
License
1669165502 Issued in NV
Practice address
8860 S Maryland Pkwy Ste 104
Las Vegas, NV 89123-4005
Phone
(702) 881-4033
NPI assigned
Jul 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician 2081H0002X 1669165502 NV Primary

Addresses

Primary practice location

8860 S Maryland Pkwy Ste 104
Las Vegas, NV 89123-4005

Mailing address

8860 S Maryland Pkwy Ste 104
Las Vegas, NV 89123-4005

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

State licenses

LicenseStateTypeSpecialty
1669165502NVMDHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
B&J Medical Group LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

8860 S Maryland Pkwy
Ste 104
Las Vegas, NV 89123
Phone (702) 881-4033

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": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1669210928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 S MARYLAND PKWY STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891234005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 S MARYLAND PKWY STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891234005",
            "telephone_number": "702-881-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABETTA",
        "first_name": "ANGELINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "NV",
            "license": "1669165502",
            "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 19, 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.