Feroza Thompson, PA
Individual provider Active NPI Physician Assistant · Mesquite, NV
NPI 1891940698 · NPPES record last updated Aug 15, 2025
Key facts
- NPI
- 1891940698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA0578 (NV)
- Practice address
- 340 Falcon Ridge Pkwy Ste 400-404
Mesquite, NV 89027-8850 - Phone
- (702) 346-5510
- Fax
- (702) 346-2557
- NPI assigned
- Nov 20, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- J H Daulat DO PC
Epiphany Dermatology of Oklahoma LLC
Practice addresses (Care Compare)
1420 E Calvada Blvd
Suite 100
Pahrump, NV 89048-3975
Phone (775) 727-0900
3111 Azalea Park Dr
Muskogee, OK 74401-2284
Phone (918) 618-1382
340 Falcon Ridge Pkwy
Suite 404
Mesquite, NV 89027-8851
Phone (702) 346-5510
3975 S Durango Dr
Suite 107
Las Vegas, NV 89147-4156
Phone (702) 628-5333
Hospital & facility affiliations
- Mesa View Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NV, OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230404002030 | NV | Practitioner - Physician Assistant | 1355404385 | Reassigns benefits to 2 organizations |
| I20240807000478 | OK | Practitioner - Physician Assistant | 1355404385 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002196 | CT | MD | Occupational Therapist |
| PA0578 | NV | MD | Physician Assistant |
| PA2306 | NV | MD | Physician Assistant |
| PA 9104996 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Holdings Nevada Inc | Current |
Accepting new patients | |
| Integrative Dermatology PA Clinic | Current | Accepting new patients | |
| J H Daulat DO PC | Current |
Accepting new patients | |
| Jaldeep H Daulat DO Professional Corporation | Past | Accepting new patients | |
| Quality Drive Emergency Physicians LLC | Past | Accepting new patients | |
| Emergency Physician Solutions of South Florida, LLC | Physician Assistant | Past | Accepting new patients |
| Southington Urgent Care | Past | Accepting new patients | |
| Haven Emergency Physicians | Past | Accepting new patients | |
| Andrew Hall MD PLLC | Past |
Accepting new patients |
Locations
9750 W Skye Canyon Park Dr
Ste 160
Las Vegas, NV 89166
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
340 Falcon Ridge Pkwy
Ste 400404
Mesquite, NV 89027
Phone (702) 346-5510
340 Falcon Ridge Pkwy
Ste 404
Mesquite, NV 89027
Phone (702) 346-5510
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2306 | NV | |
| Medical Physician Assistant | 363AM0700X | PA 9104996 | FL | |
| Physician Assistant | 363A00000X | PA0578 | NV | Yes |
Addresses
Primary practice location
340 Falcon Ridge Pkwy Ste 400-404
Mesquite, NV 89027-8850
Mailing address
9750 W Skye Canyon Park Dr Ste 160
Las Vegas, NV 89166-6627
Phone (702) 488-0842
Other providers in Mesquite, NV
- Rebecca Terry
- The Foot & Ankle Institute LLC
- Jerry Thomas
- Matthew Thomas
- Cheri Thompson
- Mary H Thompson
- Cody Thornley
- Jodi Thornley
- Jaret Tietjen
- Koden Tietjen
All providers in Mesquite, NV · Physician Assistant in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.