Individual provider Active NPI

Cyril M. Joseph, PA-C

  • Physician Assistant
  • Pahrump, NV
National Provider Identifier
1912349408
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1448 Issued in NV
Practice address
1470 E Calvada Blvd Ste 600
Pahrump, NV 89048-3906
Phone
(775) 727-9800
Fax
(775) 727-9928
NPI assigned
Jul 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X PA1448 NV
Physician Assistant 363A00000X PA1448 NV Primary

Addresses

Primary practice location

1470 E Calvada Blvd Ste 600
Pahrump, NV 89048-3906

Mailing address

2409 Artesia Blvd FL 2
Redondo Beach, CA 90278-3207

Other practice location 1

2960 Saint Rose Pkwy Ste 120
Henderson, NV 89052-5033
Phone (702) 558-5100

Other practice location 2

10652 S Eastern Ave Ste A
Henderson, NV 89052-4953
Phone (702) 476-2800

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131108001460 NV Practitioner - Physician Assistant 7416182969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel Taheri MD PCGroup PAC ID 8325142334, 16 clinicians

Practice addresses (Care Compare)

1470 E Calvada Blvd
Suite 600
Pahrump, NV 89048-3906
Phone (775) 727-9800

5731 S Fort Apache Rd
Suite 130
Las Vegas, NV 89148-5666
Phone (702) 272-1600

Merit-based Incentive Payment System (MIPS)

Final score
97.81 of 100Reported as group
Quality
97.1
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
La Laser Center, PC, a Professional Medical Corporation Dermatology 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912349408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 ARTESIA BLVD FL 2",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 E CALVADA BLVD STE 600",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890483906",
            "telephone_number": "775-727-9800",
            "fax_number": "775-727-9928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2960 Saint Rose Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890525033",
            "country_code": "US",
            "telephone_number": "702-558-5100",
            "fax_number": "702-527-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10652 S Eastern Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524953",
            "country_code": "US",
            "telephone_number": "702-476-2800",
            "fax_number": "702-476-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "CYRIL",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NV",
            "license": "PA1448",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

Verify at the official NPI Registry.