MEDICARE: DR. JUAN PABLO TRIVELLA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	70891	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407122443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUAN PABLO TRIVELLA M.D.

Provider Business Mailing Address
First Line	:	4750 W OAKEY BLVD STE 3B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1535
Country	:	US
Telephone Number	:	702-877-8330
Fax Number	:	702-877-8312

Provider Business Practice Location Address
First Line	:	1655 E CACTUS AVE # 3B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7722
Country	:	US
Telephone Number	:	702-877-8330
Fax Number	:	702-877-8312

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2012
Last Update Date	:	11/17/2025

Similar Medicare Providers

1164713400 — JAMES DOUGLAS JOSLIN D.O.
Practice Location Address:

1655 E CACTUS AVE
LAS VEGAS, NV
89183-7722

Practice Phone: 702-724-8880
Practice Fax: 702-724-8750

1215282694 — UGOCHUKWU ODO
Practice Location Address:

1655 E CACTUS AVE
LAS VEGAS, NV
89183-7722

Practice Phone: 702-781-9100
Practice Fax:

1033450127 — ARIANA MONIN APRN
Practice Location Address:

1655 E CACTUS AVE # 3B
LAS VEGAS, NV
89183-7722

Practice Phone: 27-877-5199
Practice Fax:

1013300714 — JUWAUN HINKLE PA-C
Practice Location Address:

1655 E CACTUS AVE
LAS VEGAS, NV
89183-7722

Practice Phone: 702-877-5088
Practice Fax:

1407230931 — ELIZABETH ANNE SMEDLEY FNP
Practice Location Address:

1655 E CACTUS AVE
LAS VEGAS, NV
89183-7722

Practice Phone: 702-877-0114
Practice Fax:

1154422038 — CYNTHIA TUMBLESON, PHYSICAL THERAPIST, INC.
Practice Location Address:

7722 COAST JAY ST
NORTH LAS VEGAS, NV
89084-3743

Practice Phone: 951-485-2255
Practice Fax:

Directions to “ DR. JUAN PABLO TRIVELLA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.