David Olivares Luvin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

840513 Issued in NV

Practice address

3259 Astoria Dr
Las Vegas, NV 89121-2347

Phone

(602) 668-1398

NPI assigned

Oct 27, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evolve Wellness Professional CorpGroup PAC ID 5193244051, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Evolve Wellness Professional Corp

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1083447676
  Medicare reassignment Care Compare group NPD
• Great Life Medical Center LLC

  • General Practice Physician
  • Las Vegas, NV
  • NPI 1487351854
  NPD

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1841954658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3259 ASTORIA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891212347",
            "telephone_number": "602-668-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3259 ASTORIA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891212347",
            "telephone_number": "602-668-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVARES LUVIN",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "840513",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "840513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6026681398",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HENDERSON",
            "affiliation": "N",
            "address_1": "1985 Cutlass Dr",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890142039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roberto Oliva
• Yolanda Oliva
• Maria Josefina Olivar Mata, SA-C
• Alejandra Nallely Olivares Hernandez
• Ismarais Caridad Olivares Hernandez
• Roberto Olivares Luvin
• Willian Olivares-Cutino
• Michelle Lynn Olivares-Marcelo
• Ana Roxana Olivares, PSY.D.
• Juan Olivares

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.