Individual provider Active NPI

Steven Xiao, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1922465590
Registry record updated Feb 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0330 Issued in NV
Practice address
5850 Polaris Ave Ste 100
Las Vegas, NV 89118-3185
Phone
(702) 739-9957
NPI assigned
Jan 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1698 NV
Physician Assistant 363A00000X PA0330 NV Primary

Addresses

Primary practice location

5850 Polaris Ave Ste 100
Las Vegas, NV 89118-3185

Mailing address

5850 Polaris Ave Ste 100
Las Vegas, NV 89118-3185
Phone (702) 739-9957

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
I20160223002725 NV Practitioner - Physician Assistant 5991000325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Nevada LLCGroup PAC ID 7012137037, 106 clinicians

Practice addresses (Care Compare)

3020 W Ann Rd
North Las Vegas, NV 89031-7259
Phone (702) 701-9501

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA0330NVMDPhysician Assistant
PA1698NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Nevada, LLC CurrentSince Dec 31, 2025 Accepting new patients
Ucxtra Umbrella, LLC PastSince Dec 31, 2025 Accepting new patients

Locations

2202 W Craig Rd
North Las Vegas, NV 89032
Phone (702) 826-3200

3020 W Ann Rd
North Las Vegas, NV 89031
Phone (702) 701-9501

Organizations & group practices 3

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": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455321600000",
    "number": "1922465590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 POLARIS AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183185",
            "telephone_number": "702-739-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 POLARIS AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183185",
            "telephone_number": "702-739-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIAO",
        "first_name": "STEVEN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1698",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA0330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.