MICHAEL SALVATORE FESTENESE P.A.C. NPI 1043217581

NPI Information

NPI: 1043217581
Provider Name: MICHAEL SALVATORE FESTENESE, P.A.C.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: KRISTENSEN FESTENESE MEDICAL GROUP LLC

PECOS Registration: Yes

Address:
8571 W LAKE MEAD BLVD
STE #120
LAS VEGAS, NV
ZIP 89128
Phone: (702) 360-5194
Get Directions

Michael Salvatore Festenese, P.A.C. is a medical physician assistant in Las Vegas, NV with 28 years of experience. Michael Salvatore Festenese, P.A.C. NPI is 1043217581. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8571 W LAKE MEAD BLVD
STE #120
LAS VEGAS, NV
ZIP 89128-631
Phone: (702) 360-5194
Fax: (702) 319-4754

The NPI 1043217581 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	513	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MF0247470	OTHER	NEVADA	DEA CERTIFICATE ID#
2	101257	MEDICARE ID-TYPE UNSPECIFIED	NEVADA	MEDICARE ID#
3	513	OTHER	NEVADA	NV ST BD MED EXAMINERS ID
4	CS00178	OTHER	NEVADA	NV ST BD PHARMACY CERT#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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