Active NPI
Musnitanandvazquezltd
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1972684629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- MUSNITANANDVAZQUEZLTD
- Practice address
- 4550 E Charleston Blvd
Las Vegas, NV 89104-5525 - Phone
- (702) 459-5500
- Fax
- (702) 938-6962
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ferdinand L Tan, MD
- Title
- President
- Phone
- (702) 459-5500
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Physician Assistant | 363A00000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
4550 E Charleston Blvd
Las Vegas, NV 89104-5525
Mailing address
4550 E Charleston Blvd
Las Vegas, NV 89104-5525
Phone (702) 459-5500
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1972684629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 E CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891045525",
"telephone_number": "702-459-5500",
"fax_number": "702-938-6962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 E CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891045525",
"telephone_number": "702-459-5500",
"fax_number": "702-938-6962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSNITANANDVAZQUEZLTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "TAN",
"authorized_official_first_name": "FERDINAND",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-459-5500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.