A NICKNAM PC
NPI 1659501302
Family Medicine in Las Vegas, NV

Q: What is A Nicknam PC's NPI number?

The NPI number for A Nicknam PC is 1659501302. It was assigned to this organization in the NPPES registry on July 15, 2009.

Q: What is A Nicknam PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for A Nicknam PC was last updated on December 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 15, 2009

1712 BEARDEN DR, LAS VEGAS, NV 89106(702) 733-6622(702) 382-6622 Get Directions Write a Review

NPPES record last updated: December 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About A Nicknam Pc NPPES

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

A NICKNAM PC (NPI 1659501302) is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since July 2009. The organization lists Amir K Nicknam, President, as its authorized official.

NPPES Registry Identity

NPI1659501302

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameA NICKNAM PC

Location Address1712 BEARDEN DRLas Vegas, NV 89106-4107

Mailing AddressPo Box 34717Las Vegas, NV 89133-4717 · (702) 733-6622 · Fax (702) 382-6622

Phone(702) 733-6622

Fax(702) 382-6622

Organization SubpartNo

Authorized OfficialAmir K NicknamPresident · (702) 733-6622

Enumeration DateJuly 15, 2009

Last NPPES UpdateDecember 31, 2013

✔ NPI 1659501302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NV · 11368

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1712 BEARDEN DR, Las Vegas, NV 89106

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Other Identifiers 2

Medicaid1659501302NV

OtherCP615ANV · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 A Nicknam PC's NPI number?

The NPI number for A Nicknam PC is 1659501302. It was assigned to this organization in the NPPES registry on July 15, 2009.

Where is A Nicknam PC located?

A Nicknam PC is located at 1712 Bearden Dr, Las Vegas, NV 89106. The listed phone number is (702) 733-6622.

What is A Nicknam PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for A Nicknam PC was last updated on December 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.