Angelita Tan-Torres, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA787 Issued in NV

Practice address

3201 S Maryland Pkwy
#400
Las Vegas, NV 89109-2441

Phone

(702) 262-1130

Fax

(702) 262-1161

NPI assigned

Jan 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angelita.tantorres.p1@direct.nevadahealthcenters.nextgenshare.com

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.

• Optum Medical Group Rhodes P C

  • Specialist
  • Las Vegas, NV
  • NPI 1063458594
  Medicare reassignment NPD
• A Nicknam PC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1659501302
  Medicare reassignment
• Urgent Care Nevada, LLC

  • Urgent Care Clinic/Center
  • Henderson, NV
  • NPI 1134546575
  Medicare reassignment
• Intermountain Medical Holdings Nevada Inc

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1245997279
  NPD (past)
• Ucxtra Umbrella, LLC

  • Urgent Care Clinic/Center
  • Chandler, AZ
  • NPI 1518952365
  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1861470890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98978",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891938978",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S MARYLAND PKWY",
            "address_2": "#400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092441",
            "telephone_number": "702-262-1130",
            "fax_number": "702-262-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN-TORRES",
        "first_name": "ANGELITA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE",
            "identifier": "CC5864",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500289",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paris Elizabeth Tampke
• Mezena Tampon
• Tan and Tan Medical Group Prof LLC
• Tan Q. Tran DDS LTD
• Chiline Joey Tan-Birket, FNP
• Aileen S Tan, MD
• Annie Marie Tan
• Atanacio Galacgac Tan Jr.
• Cai Xian Tan
• Can Ju Tan

• Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.