Individual provider Active NPI

Ying Quan, PA-C

  • Medical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1760840797
Registry record updated Jun 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1700 Issued in NV
Practice address
2995 S Jones Blvd Ste a
Las Vegas, NV 89146-5612
Phone
(702) 805-1880
Fax
(702) 330-0250
NPI assigned
Feb 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1700 NV Primary

Addresses

Primary practice location

2995 S Jones Blvd Ste a
Las Vegas, NV 89146-5612

Mailing address

2995 S Jones Blvd Ste a
Las Vegas, NV 89146-5612
Phone (702) 805-1880

Other practice location 1

3750 S Jones Blvd Ste 120
Las Vegas, NV 89103-2209
Phone (702) 434-8880

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316001449 NV Practitioner - Physician Assistant 5193021293 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Valley Medical Center Past Accepting new patients

Organizations & group practices 2

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": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592006400000",
    "number": "1760840797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 S JONES BLVD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465612",
            "telephone_number": "702-805-1880",
            "fax_number": "702-330-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 S JONES BLVD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465612",
            "telephone_number": "702-805-1880",
            "fax_number": "702-330-0250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3750 S Jones Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891032209",
            "country_code": "US",
            "telephone_number": "702-434-8880",
            "fax_number": "702-862-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUAN",
        "first_name": "YING",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.