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NPI 1730517236ActiveOrganization· Preferred Provider Organization· Las Vegas, NV

Preferred Provider Organization in Las Vegas, Nevada, registered in NPPES in October 2013. The authorized official on file is Amari Walton, Bst.

Overview

NPI1730517236
StatusActive
Entity typeOrganization
NPI issuedOct 18, 2013
Last updated in NPPESOct 18, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Preferred Provider Organization providers in Las Vegas

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