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

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: November 01, 2026.

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

A Nicknam Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to A Nicknam PC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Amir Nicknam, M.D.
Family Practice
NPI 1063530434
151 W BROOKS AVE SUITE A
North Las Vegas, NV 89030
(615) 778-4066
✔ PECOS✔ Accepts Medicare3.8 mi
Brandi Bjornstad, APRN-CNP
Nurse Practitioner
NPI 1104577824
4750 W SAHARA AVE STE 36
Las Vegas, NV 89102
(725) 433-3364
✔ PECOS5.4 mi
Meagan Hill, APRN
Nurse Practitioner
NPI 1497397830
2704 N TENAYA WAY
Las Vegas, NV 89128
(702) 877-5199
✔ PECOS5.7 mi
Scarlett Cavalli Daneshvar, M.D
Family Practice
NPI 1992236145
1765 VILLAGE CENTER CIR STE 100
Las Vegas, NV 89134
(702) 380-1712
✔ PECOS7.9 mi
Sana Safaei, M.D.
Family Practice
NPI 1457347304
2035 VILLAGE CENTER CIR STE 110
Las Vegas, NV 89134
(702) 228-7117
✔ PECOS✔ Accepts Medicare8.0 mi
Ammar Hussain
Nurse Practitioner
NPI 1659245298
4060 NORTH MARTIN LUTHER KING BLVD. #101A
North Las Vegas, NV 89032
(702) 380-1712
✔ PECOS

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is A Nicknam PC enrolled in Medicare?

Yes. A Nicknam PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through A Nicknam PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to A Nicknam PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3) and Nurse Practitioner (3). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does A Nicknam PC accept?

Health plans from Molina Healthcare list A Nicknam PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.