DENNIS FAJARDO PHYSICIAN ASSISTANT
NPI 1083378657
Physician Assistant - Medical in Las Vegas, NV
About Dennis Fajardo Physician Assistant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENNIS FAJARDO PHYSICIAN ASSISTANT (NPI 1083378657) is an individual medical provider in Las Vegas, Nevada, licensed in Nevada (PA2469) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Corona.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dennis Fajardo Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAS VEGAS, NV 89101
LAS VEGAS, NV 89101
LAS VEGAS, NV 89101
LAS VEGAS, NV 89101
LAS VEGAS, NV 89101
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dennis Fajardo's NPI number?
The NPI number for Dennis Fajardo is 1083378657. It was assigned to this individual provider in the NPPES registry on October 28, 2021.
Where is Dennis Fajardo located?
Dennis Fajardo practices at 330 S Casino Center Blvd, Las Vegas, NV 89101. The listed phone number is (702) 671-5638.
What is Dennis Fajardo's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Dennis Fajardo enrolled in Medicare?
Yes. Dennis Fajardo is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Dennis Fajardo was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dennis Fajardo, PHYSICIAN ASSISTANT · NPI 1083378657
Medical physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since October 28, 2021.
## Identity
- **NPI:** 1083378657 (Entity type: Individual)
- **Enumerated:** October 28, 2021
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA2469 (Nevada)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 330 S CASINO CENTER BLVD, Las Vegas, NV 89101-6102
- **Phone:** (702) 671-5638
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** May 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083378657) · Data from the CMS NPPES public registry.