Isaiah Cedric Mabasa Carlos

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

879544 Issued in NV

Practice address

2950 E Flamingo Rd
Las Vegas, NV 89121-5209

Phone

(725) 251-3854

NPI assigned

Sep 4, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1972338457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 ORIONS BELT PEAK ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890313741",
            "telephone_number": "702-556-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215209",
            "telephone_number": "725-251-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOS",
        "first_name": "ISAIAH CEDRIC",
        "middle_name": "MABASA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "879544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Carlos
• Angelica Marie Carlos
• Erica Kristina Cabanit Carlos
• Glenda Carlos
• Hannah Carlos
• Loren Nicole Carlos
• Mavi Precious Gayle Carlos
• Monica Grace Carlos
• Raneisha Carlos
• Raymond Lorenzo Carlos

• Registered Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.