Individual provider Active NPI

Olivia Ong Yuson

  • Pediatrics Physician
  • Las Vegas, NV
National Provider Identifier
1841487618
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12801 Issued in NV
Practice address
420 N Nellis Blvd Ste A6
Las Vegas, NV 89110-5365
Phone
(702) 641-3212
NPI assigned
Sep 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 12801 NV Primary

Addresses

Primary practice location

420 N Nellis Blvd Ste A6
Las Vegas, NV 89110-5365

Mailing address

420 N Nellis Blvd Ste A6
Las Vegas, NV 89110-5365
Phone (702) 641-3212

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131101000356 NV Practitioner - Pediatric Medicine 0143455980 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group II Rhodes P C CurrentSince Jun 3, 2019 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Dec 30, 2018 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Jun 3, 2019 Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Spring Valley Medical Center PastSince Apr 5, 2020 Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

420 N Nellis Blvd
Ste 2100
Las Vegas, NV 89110

420 N Nellis Blvd
Ste A6
Las Vegas, NV 89110
Phone (702) 641-3212

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

Interoperability endpoints

  • Direct secure messaging: oyuson119434@westdirect.optum.com

Organizations & group practices 7

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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1841487618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N NELLIS BLVD STE A6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105365",
            "telephone_number": "702-641-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N NELLIS BLVD STE A6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105365",
            "telephone_number": "702-641-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSON",
        "first_name": "OLIVIA",
        "middle_name": "ONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "12801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.