JESUS ANGEL CORN SOTELO PA-C
NPI 1285973289
Physician Assistant - Medical in Las Vegas, NV

Q: What is Jesus Corn Sotelo's NPI number?

The NPI number for Jesus Corn Sotelo is 1285973289. It was assigned to this individual provider in the NPPES registry on February 11, 2013. The provider is also known as Jesus Angel Corn.

Q: What is Jesus Corn Sotelo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jesus Corn Sotelo was last updated on November 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 11, 2013PECOS Enrolled

6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113(702) 216-3346(702) 671-6883 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2022, May 29, 2017 (2 updates tracked since 2017).

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About Jesus Angel Corn Sotelo Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESUS ANGEL CORN SOTELO PA-C (NPI 1285973289) is an individual medical provider in Las Vegas, Nevada, licensed in Nevada (PA1422) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1285973289

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJESUS ANGEL CORN SOTELOCredential: PA-C

Location Address6355 S BUFFALO DR FL 3Las Vegas, NV 89113-2133

Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3346 · Fax (702) 671-6883

Phone(702) 216-3346

Fax(702) 671-6883

Sole ProprietorNo

Enumeration DateFebruary 11, 2013

Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration

NPPES CertifiedNovember 15, 2022

✔ NPI 1285973289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NV · PA1422

6355 S BUFFALO DR FL 3, Las Vegas, NV 89113

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Other Names 1

Former Name (1)Jesus Angel Corn

Secondary Practice Location 1

Location 14225 S Eastern Ave Ste 8Las Vegas, NV 89119-5485 · Phone (702) 982-5786 · Fax (702) 982-5871

Other Identifiers 2

Medicaid1285973289NV

OtherPA1422NV · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesus Angel Corn Sotelo Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

NITTU SINGH MD

Family Medicine