JANIKA SULLIVAN PA-C NPI 1326532037

NPI Information

NPI: 1326532037
Provider Name: JANIKA SULLIVAN, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: DESERT ORTHOPAEDIC CENTER, LTD.

PECOS Registration: Yes

Address:
2800 E DESERT INN RD STE 100
LAS VEGAS, NV
ZIP 89121
Phone: (702) 731-1616
Get Directions

Janika Sullivan, PA-C is a surgical physician assistant in Las Vegas, NV with 6 years of experience. Janika Sullivan, PA-C NPI is 1326532037. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2800 E DESERT INN RD STE 100
LAS VEGAS, NV
ZIP 89121-609
Phone: (702) 731-1616
Fax: (702) 734-4900

The NPI 1326532037 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 6/16/2018 and was last updated on 8/14/2019.

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	55665	CALIFORNIA	No
2	363AS0400X	Physician Assistant	Surgical	PA2149	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	PA2149	OTHER	NEVADA	NV MEDICAL LICENSE

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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