NPI 1689903155 · live from the CMS NPI Registry
Michael Avila-Cabral, PA-C
Physician Assistant, Medical in North Las Vegas, NV. National Provider Identifier 1689903155, active.
NPI record
| NPI | 1689903155 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 1550 W Craig Rd, North Las Vegas, NV 89032 |
| Practice phone | 702-777-3615 |
| Mailing address | 2100 Powell St, Suite 900, Emeryville, CA 94608 |
| Enumerated | December 13, 2009 |
| Last updated | June 6, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | PA20684 (CA) |
| Physician Assistant, Medical primary | 363AM0700X | PA2506 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.