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MARLO GRANT ASIS JR.
NPI 1952795239
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since March 24, 2015PECOS Enrolled
2040 W CHARLESTON BLVD, SUITE #302, LAS VEGAS, NV 89102(702) 671-2273(702) 385-9399 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marlo Grant Asis Jr. NPPES

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

MARLO GRANT ASIS JR. (NPI 1952795239) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952795239
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARLO GRANT ASIS JR.
Location Address2040 W CHARLESTON BLVD, SUITE #302Las Vegas, NV 89102-2227
Mailing Address2040 W Charleston Blvd, Suite #302Las Vegas, NV 89102-2227 · (702) 671-2273 · Fax (702) 385-9399
Phone(702) 671-2273
Fax(702) 385-9399
Sole ProprietorNo
Enumeration DateMarch 24, 2015
Last NPPES UpdateNovember 21, 2022
✔ NPI 1952795239 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.
2040 W CHARLESTON BLVD, Las Vegas, NV 89102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlo Grant Asis Jr. 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.

Medicare Billing Reassignment

Medicare enrollment records show Marlo Asis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
198 mi
Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1982863783 (661) 726-2279

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

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.

JASON MICHAEL CASTILLO D.O.
Psychiatry & Neurology (Psychiatry)
2040 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 671-5127
UNSOM MULTISPECIALITY GROUP PRACTICE SOUTH, INC
Psychiatry & Neurology (Psychiatry)
2040 W CHARLESTON BLVD, SUITE 202A
LAS VEGAS, NV 89102
Clark County (702) 671-6475
DR. HARRISON H SHELD M.D.
Obstetrics & Gynecology
2040 W CHARLESTON BLVD, #200
LAS VEGAS, NV 89102
Clark County (702) 671-2300
KRISTINA FONTANA M. A.
Genetic Counselor, MS
2040 W CHARLESTON BLVD, 401
LAS VEGAS, NV 89102
Clark County (702) 671-2200
DR. JOHN SUTHERLAND MD
Radiology (Diagnostic Radiology)
2040 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (775) 328-1429
MATTHEW ADAM LOPTIEN
Emergency Medicine
2040 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 671-6437
KATRINA FARWIG M. A.
Genetic Counselor, MS
2040 W CHARLESTON BLVD, 401
LAS VEGAS, NV 89102
Clark County (702) 671-2200
DR. JORGE AGUILA M.D.
Radiology (Diagnostic Radiology)
2040 W CHARLESTON BLVD, STE 300
LAS VEGAS, NV 89102
Clark County (702) 671-2358

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 Marlo Asis's NPI number?

The NPI number for Marlo Asis is 1952795239. It was assigned to this individual provider in the NPPES registry on March 24, 2015.

Where is Marlo Asis located?

Marlo Asis practices at 2040 W Charleston Blvd Suite #302, Las Vegas, NV 89102. The listed phone number is (702) 671-2273.

What is Marlo Asis's specialty?

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

Is Marlo Asis enrolled in Medicare?

Yes. Marlo Asis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marlo Asis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlo Asis reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). The 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 Marlo Asis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marlo Asis was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.