Active NPI
Augustine John Wagasky
- Community Health Worker
- Las Vegas, NV
National Provider Identifier
1679440481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 5182
- Practice address
- 2725 S Jones Blvd Ste 104
Las Vegas, NV 89146-5605 - Phone
- (702) 384-2238
- NPI assigned
- Oct 17, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 5182 | NV | Primary |
Addresses
Primary practice location
2725 S Jones Blvd Ste 104
Las Vegas, NV 89146-5605
Mailing address
7132 Acorn CT
Las Vegas, NV 89147-4716
Phone (702) 384-2238
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5182 | NV | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1679440481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7132 ACORN CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891474716",
"telephone_number": "702-384-2238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 S JONES BLVD STE 104",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465605",
"telephone_number": "702-384-2238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGASKY",
"first_name": "AUGUSTINE",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-17",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NV",
"license": "5182",
"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 Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.