MEDICARE: DR. DAVID SIMI NIUMATALOLO 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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	22511	NV
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	14272871-1205	UT

General Provider Information

NPI Number	:	1598298267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID SIMI NIUMATALOLO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 27128
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84127-0128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4750 W OAKEY BLVD STE 3A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1535
Country	:	US
Telephone Number	:	702-954-7626
Fax Number	:

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

Provider Enumeration Date	:	04/09/2017
Last Update Date	:	05/04/2026

Similar Medicare Providers

1730182148 — JOHN A SEIBEL MD
Practice Location Address:

4750 W OAKEY BLVD , STE 4C
LAS VEGAS, NV
89102-1535

Practice Phone: 702-877-5306
Practice Fax:

1972584274 — MOHAMMAD SHEIKHAI MD
Practice Location Address:

4750 W OAKEY BLVD STE 2A
LAS VEGAS, NV
89102-1535

Practice Phone: 702-877-5199
Practice Fax:

1013987536 — DR. EDWARD RATCLIFFE ANDERSON III MD
Practice Location Address:

4750 W OAKEY BLVD STE 2B
LAS VEGAS, NV
89102-1535

Practice Phone: 702-579-3297
Practice Fax: 702-796-2302

1710958699 — ROSS SEIBEL MD
Practice Location Address:

4750 W OAKEY BLVD
LAS VEGAS, NV
89102-1535

Practice Phone: 702-877-5199
Practice Fax:

1316919343 — APRIL NEUMANN MD
Practice Location Address:

4750 W OAKEY BLVD
LAS VEGAS, NV
89102-1535

Practice Phone: 702-854-2934
Practice Fax:

1730152703 — MICHELLE D CONGER DO
Practice Location Address:

4750 W OAKEY BLVD
LAS VEGAS, NV
89102-1535

Practice Phone: 702-877-5199
Practice Fax: 702-984-5184

Directions to “ DR. DAVID SIMI NIUMATALOLO 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 © 2007-2026 (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.