Active NPI
Jordan James Patrick Vieira, PAC
- Surgical Physician Assistant
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA3248
- Practice address
- 7455 W Washington Ave Ste 160
Las Vegas, NV 89128-4356 - Phone
- (702) 878-0393
- Fax
- (702) 258-3773
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA3248 | NV | Primary |
Addresses
Primary practice location
7455 W Washington Ave Ste 160
Las Vegas, NV 89128-4356
Mailing address
7455 W Washington Ave Ste 160
Las Vegas, NV 89128-4356
Phone (702) 878-0393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Washington School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1505 Wigwam Pkwy
Suite 330
Henderson, NV 89074-8195
Phone (702) 878-0393
7455 W Washington Ave
Las Vegas, NV 89128-4356
Phone (702) 878-0393
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA3248 | NV | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients |
Locations
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
11511 NE 10th St
Hunts Point, WA 98004
Phone (425) 502-3000
14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409
3030 Limited Ln NW
Olympia, WA 98502
Phone (360) 352-6000
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
10452 Silverdale Way NW
Silverdale, WA 98383
Phone (360) 307-7300
209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- jordanvieira@nosc.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Las Vegas, NV
- NPI 1437158771
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1124264577
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1922197565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7455 W WASHINGTON AVE STE 160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891284356",
"telephone_number": "702-878-0393",
"fax_number": "702-258-3773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7455 W WASHINGTON AVE STE 160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891284356",
"telephone_number": "702-878-0393",
"fax_number": "702-258-3773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIEIRA",
"first_name": "JORDAN",
"middle_name": "JAMES PATRICK",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NV",
"license": "PA3248",
"primary": true
}
],
"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 Sep 5, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.