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DR. DAMIEN DANIEL MEDRANO MD
NPI 1730767476
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since April 01, 2021PECOS Enrolled
1707 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102(702) 676-3650 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Damien Daniel Medrano Md NPPES

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

DR. DAMIEN DANIEL MEDRANO MD (NPI 1730767476) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730767476
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DAMIEN DANIEL MEDRANOCredential: MD
Location Address1707 W CHARLESTON BLVD STE 100Las Vegas, NV 89102-2352
Mailing Address1707 W Charleston Blvd Ste 100Las Vegas, NV 89102-2352 · (702) 676-3650
Phone(702) 676-3650
Sole ProprietorNo
Enumeration DateApril 1, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1730767476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1707 W CHARLESTON BLVD STE 100, Las Vegas, NV 89102
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Damien Daniel Medrano Md 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.

ANDREW TYLER PHAM
Student in an Organized Health Care Education/Training Program
1707 W CHARLESTON BLVD STE 100
LAS VEGAS, NV 89102
Clark County (702) 676-3650
DR. KYAW MIN TUN DO
Internal Medicine
1707 W CHARLESTON BLVD STE 100
LAS VEGAS, NV 89102
Clark County (702) 676-3650
NATHAN STEPHAN CLARK DO
Student in an Organized Health Care Education/Training Program
1707 W CHARLESTON BLVD STE 100
LAS VEGAS, NV 89102
Clark County (702) 671-2358
RISHI KUMAR NANDA DO
Student in an Organized Health Care Education/Training Program
1707 W CHARLESTON BLVD STE 100
LAS VEGAS, NV 89102
Clark County (702) 676-3650
WILSON CHAN MD
Internal Medicine
1707 W CHARLESTON BLVD STE 100
LAS VEGAS, NV 89102
Clark County (702) 671-5070
DANICA JANINE GALANG MD
Student in an Organized Health Care Education/Training Program
1707 W CHARLESTON BLVD STE 100
LAS VEGAS, NV 89102
Clark County (702) 676-3650
TAHA MUNIR SHAIKH DO
Internal Medicine
1707 W CHARLESTON BLVD STE 100
LAS VEGAS, NV 89102
Clark County (702) 676-3650
SANA GURZ MD
Internal Medicine
1707 W CHARLESTON BLVD STE 100
LAS VEGAS, NV 89102
Clark County (702) 676-3650

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 Damien Medrano's NPI number?

The NPI number for Damien Medrano is 1730767476. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Damien Medrano located?

Damien Medrano practices at 1707 W Charleston Blvd Ste 100, Las Vegas, NV 89102. The listed phone number is (702) 676-3650.

What is Damien Medrano's specialty?

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

Is Damien Medrano enrolled in Medicare?

Yes. Damien Medrano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Damien Medrano was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.