Active NPI
Michael Avila-Cabral, PA-C
- Medical Physician Assistant
- North Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA2506
- Practice address
- 1550 W Craig Rd
North Las Vegas, NV 89032-0327 - Phone
- (702) 777-3615
- NPI assigned
- Dec 13, 2009
- Last updated
- Jun 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA20684 | CA | |
| Medical Physician Assistant | 363AM0700X | PA2506 | NV | Primary |
Addresses
Primary practice location
1550 W Craig Rd
North Las Vegas, NV 89032-0327
Mailing address
2100 Powell St
Suite 900
Emeryville, CA 94608-1826
Phone (510) 350-2698
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2202 W Craig Rd
North Las Vegas, NV 89032-3018
Phone (702) 826-3200
3020 W Ann Rd
North Las Vegas, NV 89031-7259
Phone (702) 701-9501
4575 W Charleston Blvd
Suite a
Las Vegas, NV 89102-1501
Phone (702) 877-8777
5570 Camino Al Norte
Suite 1
North Las Vegas, NV 89031-0809
Phone (702) 657-0756
6440 Centennial Ctr Blvd
Suite 110
Las Vegas, NV 89149-4797
Phone (702) 901-8320
8300 W Cheyenne Ave
Suite 106
Las Vegas, NV 89129-2177
Phone (702) 656-0911
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20684 | CA | MD | Pediatric Occupational Therapist |
| PA20684 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vituity-Nevada Medical Services Koury & Partners PC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CareNow Urgent Care
- Urgent Care Clinic/Center
- Henderson, NV
- NPI 1134546575
-
- Emergency Medicine Physician
- Incline Village, NV
- NPI 1396585154
-
- Emergency Medicine Physician
- Henderson, NV
- NPI 1174363931
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Dignity Health - St. Rose Dominican North Durango Campus
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1073329223
-
dba Dignity Health-St Rose Dominican Sahara
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1457895336
-
dba Dignity Health-St. Rose Dominican North Las Vegas Campus
- General Acute Care Hospital
- North Las Vegas, NV
- NPI 1578007514
-
dba Dignity Health St Rose Dominican West Flamingo Campus
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1740724780
-
dba Dignity Health-St. Rose Dominican Blue Diamond Campus
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1922542968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1689903155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST",
"address_2": "SUITE 900",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081826",
"telephone_number": "510-350-2698",
"fax_number": "510-879-9084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 W CRAIG RD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890320327",
"telephone_number": "702-777-3615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA-CABRAL",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-13",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA20684",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA2506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.