MEDICARE: JOSEPH A DELAPPI P.A.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
1	363AS0400X	Surgical Physician Assistant	PA743	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	970026602	OTHER	NV	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1265499586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH A DELAPPI P.A.C.

Provider Business Mailing Address
First Line	:	8550 W DESERT INN RD
Second Line	:	STE. 102-425
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-4401
Country	:	US
Telephone Number	:	702-496-6985
Fax Number	:	702-925-7707

Provider Business Practice Location Address
First Line	:	8025 DARK HOLLOW PL
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7616
Country	:	US
Telephone Number	:	702-948-8897
Fax Number	:	702-549-3178

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

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	03/17/2018

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Directions to “ JOSEPH A DELAPPI P.A.C.” Practice Location

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