Individual provider Active NPI

Abebe Yosef

  • Case Manager/Care Coordinator
  • Las Vegas, NV
National Provider Identifier
1790224707
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1455 E Tropicana Ave # 175B
1455 E Tropicana Ave # 175B
Las Vegas, NV 89119-6507
Phone
(702) 893-2002
Fax
(702) 369-3334
NPI assigned
Feb 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1455 E Tropicana Ave # 175B
1455 E Tropicana Ave # 175B
Las Vegas, NV 89119-6507

Mailing address

1455 E Tropicana Ave # 175B
1455 E Tropicana Ave # 175B
Las Vegas, NV 89119-6507
Phone (702) 893-2002

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

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1790224707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E TROPICANA AVE # 175B",
            "address_2": "1455 E TROPICANA AVE # 175B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196507",
            "telephone_number": "702-893-2002",
            "fax_number": "702-369-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E TROPICANA AVE # 175B",
            "address_2": "1455 E TROPICANA AVE # 175B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196507",
            "telephone_number": "702-893-2002",
            "fax_number": "702-369-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSEF",
        "first_name": "ABEBE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "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 Feb 23, 2017; 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.