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NPI 1205183886ActiveOrganization· Preferred Provider Organization· Las Vegas, NV
Preferred Provider Organization in Las Vegas, Nevada, registered in NPPES in August 2012. The authorized official on file is Jewel Deguzman, OWNER, President.
Overview
| NPI | 1205183886 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 13, 2012 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | — | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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