NPIMap

Individual provider Active NPI

Anthony Brando Opimo, AGACNP-BC, RN, MD

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1962057414
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
822977 Issued in NV
Practice address
9320 W. Sahara Ave.
Las Vegas, NV 89117
Phone
(702) 383-3633
Fax
(702) 562-2810
NPI assigned
Aug 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 822977 NV Primary

Addresses

Primary practice location

9320 W. Sahara Ave.
Las Vegas, NV 89117

Mailing address

1800 W. Charleston Blvd.
Las Vegas, NV 89102
Phone (702) 383-2688

Other practice location 1

2777 Paradise Rd Unit 2405
Las Vegas, NV 89109-9116
Phone (714) 244-8094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191101000838 NV Practitioner - Nurse Practitioner 7517299050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Medical Center of Southern NevadaGroup PAC ID 7315934429, 388 clinicians

Practice addresses (Care Compare)

9320 W Sahara Ave
Las Vegas, NV 89117-5351
Phone (702) 383-3850

Hospital & facility affiliations

  • University Medical Center Hospital, Las Vegas, NV, CCN 290007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
822977NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raj P. Singh MD PLLC CurrentSince Sep 15, 2019 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Jun 1, 2021 Accepting new patients
Palliative Care of Las Vegas, LLC Current Accepting new patients

Locations

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

3900 W Charleston Blvd
Ste 170
Las Vegas, NV 89102
Phone (702) 362-2273

9320 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 383-3633

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1962057414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W. CHARLESTON BLVD.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-383-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 W. SAHARA AVE.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89117",
            "telephone_number": "702-383-3633",
            "fax_number": "702-562-2810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2777 Paradise Rd Unit 2405",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891099116",
            "country_code": "US",
            "telephone_number": "714-244-8094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPIMO",
        "first_name": "ANTHONY BRANDO",
        "name_prefix": "Mr.",
        "credential": "AGACNP-BC, RN, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "822977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.