JOSE PARRA DO
NPI 1295410017
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since June 19, 2023PECOS Enrolled
620 SHADOW LN, LAS VEGAS, NV 89106(702) 388-4000 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2026, Jun 19, 2023 (2 updates tracked since 2023).

About Jose Parra Do NPPES

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

JOSE PARRA DO (NPI 1295410017) is an individual student in an organized health care education/training program in Las Vegas, Nevada, licensed in Nevada (SL2097) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295410017
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSE PARRACredential: DO
Location Address620 SHADOW LNLas Vegas, NV 89106-4194
Mailing Address620 Shadow LnLas Vegas, NV 89106-4194
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 19, 2023
Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
NPI 1295410017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
License Licensed in NV · SL2097
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedGeneral PracticeTaxonomy 208D00000X · License DO4050 (NV)
620 SHADOW LN, Las Vegas, NV 89106

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jose Parra Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577923168
PECOS Enrollment IDI20260430003877, I20260612001065
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290021
Location620 Shadow LaneLas Vegas, NV 89106 · Clark County
Emergency services

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.

Nurse Practitioner
620 SHADOW LN
LAS VEGAS, NV 89106
Orthopaedic Surgery
620 SHADOW LN
LAS VEGAS, NV 89106
Emergency Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Internal Medicine (Gastroenterology)
620 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
620 SHADOW LN
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 Jose Parra's NPI number?

The NPI number for Jose Parra is 1295410017. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Where is Jose Parra located?

Jose Parra practices at 620 Shadow Ln, Las Vegas, NV 89106. The listed phone number is (702) 388-4000.

What is Jose Parra's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jose Parra enrolled in Medicare?

Yes. Jose Parra is registered in the Medicare PECOS enrollment system.

Is Jose Parra affiliated with any hospitals?

According to CMS data, Jose Parra is affiliated with Valley Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Parra was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.