DJIAN-LUKE TY
NPI 1558210641
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since January 22, 2026
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102(702) 774-5134 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Djian-luke Ty NPPES

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

DJIAN-LUKE TY (NPI 1558210641) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1558210641
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDJIAN-LUKE TY
Location Address1800 W CHARLESTON BLVDLas Vegas, NV 89102-2386
Mailing Address1856 Jupiter Hills RdCorona, CA 92883-0660
Sole ProprietorNo
Enumeration DateJanuary 22, 2026
NPPES CertifiedJanuary 22, 2026
NPI 1558210641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
1800 W CHARLESTON BLVD, Las Vegas, NV 89102

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.

Internal Medicine
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Family Medicine
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Student in an Organized Health Care Education/Training Program
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Radiology (Diagnostic Radiology)
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Emergency Medicine
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Dietitian, Registered
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Dietitian, Registered
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Nurse Anesthetist, Certified Registered
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102

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 Djian-luke Ty's NPI number?

The NPI number for Djian-luke Ty is 1558210641. It was assigned to this individual provider in the NPPES registry on January 22, 2026.

Where is Djian-luke Ty located?

Djian-luke Ty practices at 1800 W Charleston Blvd, Las Vegas, NV 89102. The listed phone number is (702) 774-5134.

What is Djian-luke Ty's specialty?

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

When was this NPI record last updated?

The NPPES record for Djian-luke Ty was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.