JONATHAN D FONBUENA PA-C
NPI 1093278244
Physician Assistant - Medical in Las Vegas, NV
About Jonathan D Fonbuena Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN D FONBUENA PA-C (NPI 1093278244) is an individual medical provider in Las Vegas, Nevada, licensed in Nevada (PA2984) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jonathan D Fonbuena Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAS VEGAS, NV 89106
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 Jonathan Fonbuena's NPI number?
The NPI number for Jonathan Fonbuena is 1093278244. It was assigned to this individual provider in the NPPES registry on April 12, 2019.
Where is Jonathan Fonbuena located?
Jonathan Fonbuena practices at 1799 Mount Mariah Dr, Las Vegas, NV 89106. The listed phone number is (702) 383-1961.
What is Jonathan Fonbuena's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jonathan Fonbuena enrolled in Medicare?
Yes. Jonathan Fonbuena is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jonathan Fonbuena was last updated on May 16, 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.
# Jonathan D Fonbuena, PA-C · NPI 1093278244
Medical physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since April 12, 2019.
## Identity
- **NPI:** 1093278244 (Entity type: Individual)
- **Enumerated:** April 12, 2019
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA2984 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 1799 MOUNT MARIAH DR, Las Vegas, NV 89106-1501
- **Phone:** (702) 383-1961
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** May 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093278244) · Data from the CMS NPPES public registry.