Active NPI
Amity Elise Herrera, P.A.
- Medical Physician Assistant
- Las Vegas, NV
National Provider Identifier
1962642082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA905
- Practice address
- 4488 S Pecos Rd
Las Vegas, NV 89121-5030 - Phone
- (702) 436-1001
- Fax
- (702) 436-7999
- NPI assigned
- Mar 2, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA905 | NV | Primary |
Addresses
Primary practice location
4488 S Pecos Rd
Las Vegas, NV 89121-5030
Mailing address
101 E Redlands Blvd
Suite 212
Redlands, CA 92373-4775
Phone (909) 335-7649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA905 | Other | NV | P.A. LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Robert West, M.D., Inc | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1962642082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E REDLANDS BLVD",
"address_2": "SUITE 212",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734775",
"telephone_number": "909-335-7649",
"fax_number": "909-557-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4488 S PECOS RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215030",
"telephone_number": "702-436-1001",
"fax_number": "702-436-7999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "AMITY",
"middle_name": "ELISE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-02",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA905",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "P.A. LICENSE",
"identifier": "PA905",
"state": "NV"
}
],
"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 Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.