MEDICARE: MR. CALVIN FREDERICK PANIAGUA II 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
1	363A00000X	Physician Assistant	17465	CA
2	363A00000X	Physician Assistant	3024	AZ
3	363A00000X	Physician Assistant	PA1021	NV
4	363A00000X	Physician Assistant	0003911	CO
5	363A00000X	Physician Assistant	5601004343	MI

General Provider Information

NPI Number	:	1326144577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CALVIN FREDERICK PANIAGUA II PA-C

Provider Business Mailing Address
First Line	:	PO BOX 270662
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89127-4662
Country	:	US
Telephone Number	:	702-823-3813
Fax Number	:	725-777-3119

Provider Business Practice Location Address
First Line	:	5891 E CHARLESTON BLVD
Second Line	:	SUITE 150
City	:	LAS VEGAS
State	:	NV
Zip	:	89142-1050
Country	:	US
Telephone Number	:	725-777-3120
Fax Number	:	725-777-3119

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

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	04/04/2017

Similar Medicare Providers

1609853555 — MOBILE RADIOLOGY & EKG OF NEVADA, INC.
Practice Location Address:

1050 E FLAMINGO RD , SUITE N-138 BOX 110
LAS VEGAS, NV
89119-7427

Practice Phone: 702-258-7993
Practice Fax: 702-319-5217

1245384908 — FAMILY AND CHILD TREATMENT OF SOUTHERN NEVADA
Practice Location Address:

1050 S RAINBOW BLVD
LAS VEGAS, NV
89145-6231

Practice Phone: 702-258-5855
Practice Fax:

1811036221 — SONOVISION, INC.
Practice Location Address:

1050 E FLAMINGO RD , SUITE N-138
LAS VEGAS, NV
89119-7427

Practice Phone: 702-369-4216
Practice Fax:

1902946312 — ELIZABETH MARY HAVILAND NURSE PRACTITIONER
Practice Location Address:

1050 E FLAMINGO RD STE 107
LAS VEGAS, NV
89119-7429

Practice Phone: 702-781-4988
Practice Fax:

1578604468 — MAPLE STAR NEVADA
Practice Location Address:

1050 E FLAMINGO RD , STE S-107
LAS VEGAS, NV
89119

Practice Phone: 702-733-8098
Practice Fax: 702-395-6457

1215079918 — MAPLE STAR NEVADA
Practice Location Address:

1050 E FLAMINGO RD , STE S-107
LAS VEGAS, NV
89119

Practice Phone: 702-733-8098
Practice Fax:

Directions to “ MR. CALVIN FREDERICK PANIAGUA II PA-C” 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.