Active NPI
Percival M Arcega
- Rehabilitation Psychologist
- Las Vegas, NV
National Provider Identifier
1851701676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- Practice address
- 5447 S Durango Dr
Las Vegas, NV 89113-1849 - Phone
- (702) 222-0034
- Fax
- (702) 222-0659
- NPI assigned
- May 1, 2014
- Last updated
- May 1, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | NV | Primary |
Addresses
Primary practice location
5447 S Durango Dr
Las Vegas, NV 89113-1849
Mailing address
5447 S Durango Dr
Las Vegas, NV 89113-1849
Phone (702) 222-0034
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225400000X | Other | NV | REHABILATION PRACTIONER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conservatory of Hope Treatment Services LLC | Past | Accepting new patients | |
| Conservatory of Hope Treatment Services LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
- NPI 1124317086
-
dba Conservatory of Hope Home Health
- Home Health Agency
- Las Vegas, NV
- NPI 1245650969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1851701676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5447 S DURANGO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891131849",
"telephone_number": "702-222-0034",
"fax_number": "702-222-0659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5447 S DURANGO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891131849",
"telephone_number": "702-222-0034",
"fax_number": "702-222-0659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCEGA",
"first_name": "PERCIVAL",
"middle_name": "M",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-01",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REHABILATION PRACTIONER",
"identifier": "225400000X",
"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 May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.