Individual provider Active NPI

Socrates Felipe Piza Bernal, P.A.

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1891570016
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3029 Issued in PR
Practice address
1564 Tangerine Rose Dr
Las Vegas, NV 89142-0975
Phone
(702) 750-5782
NPI assigned
Aug 28, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3029 PR Primary
Surgical Physician Assistant 363AS0400X 3029 PR
Surgical Assistant 246ZC0007X 23-581 NV
Medical Physician Assistant 363AM0700X 3029 PR

Addresses

Primary practice location

1564 Tangerine Rose Dr
Las Vegas, NV 89142-0975

Mailing address

1564 Tangerine Rose Dr
Las Vegas, NV 89142-0975
Phone (702) 750-5782

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3029PRMDSpeech-Language Pathologist
23-581NVMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1891570016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 TANGERINE ROSE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891420975",
            "telephone_number": "702-750-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 TANGERINE ROSE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891420975",
            "telephone_number": "702-750-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZA BERNAL",
        "first_name": "SOCRATES",
        "middle_name": "FELIPE",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "3029",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PR",
            "license": "3029",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NV",
            "license": "23-581",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "3029",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.