Individual provider Active NPI

Stephanie Rosaura Martinez Lopez, PA

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1932062254
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3422 Issued in NV
Practice address
3692 E Sunset Rd
Las Vegas, NV 89120-7237
Phone
(702) 735-7668
Fax
(702) 735-1411
NPI assigned
Dec 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3422 NV Primary

Addresses

Primary practice location

3692 E Sunset Rd
Las Vegas, NV 89120-7237

Mailing address

3692 E Sunset Rd
Las Vegas, NV 89120-7237
Phone (702) 735-7668

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
I20260413003123 NV Practitioner - Physician Assistant 6103391529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2053 Angel Falls Dr
Henderson, NV 89074-4249

3692 E Sunset Rd
Las Vegas, NV 89120-7237

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA3422NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sean D. Palacios MD PLLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

3692 E Sunset Rd
Las Vegas, NV 89120
Phone (702) 735-7668

3686 E Sunset Rd
Las Vegas, NV 89120
Phone (702) 735-7668

Organizations & group practices 1

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": "1764806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1932062254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3692 E SUNSET RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891207237",
            "telephone_number": "702-735-7668",
            "fax_number": "702-735-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3692 E SUNSET RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891207237",
            "telephone_number": "702-735-7668",
            "fax_number": "702-735-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ LOPEZ",
        "first_name": "STEPHANIE",
        "middle_name": "ROSAURA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-04",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA3422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.