Ethel Sajor-Sam

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN001077 Issued in NV

Practice address

3249 W Craig Rd Ste 140
N Las Vegas, NV 89032

Phone

(702) 750-1900

NPI assigned

Oct 28, 2008

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Choice Family Medical Clinic LLC

  • Clinic/Center
  • Las Vegas, NV
  • NPI 1538778634
  NPD (past)
• Kuthuru Desert Pain Management PC

  • Specialist
  • Las Vegas, NV
  • NPI 1144474685
  NPD (past)

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561766400000",
    "number": "1679726251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81316",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891801316",
            "telephone_number": "702-750-1655",
            "fax_number": "702-750-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 W CRAIG RD STE 140",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "89032",
            "telephone_number": "702-750-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3249 W Craig Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "N Las Vegas",
            "state": "NV",
            "postal_code": "89032",
            "country_code": "US",
            "telephone_number": "702-750-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6845 W Charleston Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891171647",
            "country_code": "US",
            "telephone_number": "702-240-8318",
            "fax_number": "702-240-8331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAJOR-SAM",
        "first_name": "ETHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2019-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN001077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marolyn Ruiz
• Rhianon L Runnfeldt, RRT
• S & T LLC.
• S & T LLC.
• Beverly Marcelino Sadsad
• Nilda Salado
• Beverly Saldana
• Sky Saldivar
• Jacqueline Saltares
• Ivie Lee Samuel

• Family Nurse Practitioner in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; 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.