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NPI Code Detail

MEDICARE: MR. JAKE BENDICION PA-C

MEDICARE: MR. JAKE BENDICION PA-C
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
1363AS0400XSurgical Physician AssistantPA0595NV

General Provider Information

NPI Number : 1215508551
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAKE BENDICION PA-C
Provider Business Mailing Address
First Line : 1851 STEAMBOAT PKWY UNIT 2704
Second Line :
City : RENO
State : NV
Zip : 89521-6344
Country : US
Telephone Number : 702-683-3888
Fax Number :
Provider Business Practice Location Address
First Line : 9159 W FLAMINGO RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6454
Country : US
Telephone Number : 702-683-3888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2021
Last Update Date : 02/04/2026

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Directions to “ MR. JAKE BENDICION PA-C” Practice Location

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