Individual provider Active NPI

Mailen D Vidal Gonzalez

  • Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1861303349
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
903967 Issued in NV
Practice address
2950 E Flamingo Rd Ste H
Las Vegas, NV 89121-5208
Phone
(725) 251-3854
NPI assigned
Sep 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 903967 NV Primary

Addresses

Primary practice location

2950 E Flamingo Rd Ste H
Las Vegas, NV 89121-5208

Mailing address

2950 E Flamingo Rd Ste H
Las Vegas, NV 89121-5208
Phone (725) 251-3854

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL securerecords.sanford.html

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1861303349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 E FLAMINGO RD STE H",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215208",
            "telephone_number": "725-251-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E FLAMINGO RD STE H",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215208",
            "telephone_number": "725-251-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL GONZALEZ",
        "first_name": "MAILEN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "903967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "address_1": "2950 E Flamingo Rd Ste H",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891215208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.