Active NPI
Mai T. Vuong, PA-C
- Medical Physician Assistant
- Las Vegas, NV
National Provider Identifier
1811186646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA933
- Practice address
- 4488 S Pecos Rd
Las Vegas, NV 89121-5030 - Phone
- (702) 462-7901
- Fax
- (760) 477-2929
- NPI assigned
- Oct 17, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA933 | NV | Primary |
Addresses
Primary practice location
4488 S Pecos Rd
Las Vegas, NV 89121-5030
Mailing address
4488 S Pecos Rd
Las Vegas, NV 89121
Phone (702) 462-7901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01041225 | Other | NV | RR MEDICARE |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA933 | NV | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356048000000",
"number": "1811186646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4488 S PECOS RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89121",
"telephone_number": "702-462-7901",
"fax_number": "760-477-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4488 S PECOS RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215030",
"telephone_number": "702-462-7901",
"fax_number": "760-477-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUONG",
"first_name": "MAI",
"middle_name": "T.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-17",
"last_updated": "2012-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA933",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01041225",
"state": "NV"
}
],
"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 Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.