Provider Demographics
NPI:1265499586
Name:DELAPPI, JOSEPH A (PAC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:A
Last Name:DELAPPI
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8550 W DESERT INN RD
Mailing Address - Street 2:STE. 102-425
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-4401
Mailing Address - Country:US
Mailing Address - Phone:702-496-6985
Mailing Address - Fax:702-925-7707
Practice Address - Street 1:8025 DARK HOLLOW PL
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-7616
Practice Address - Country:US
Practice Address - Phone:702-948-8897
Practice Address - Fax:702-549-3178
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPA743363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV970026602OtherRAILROAD MEDICARE
NV2402203Medicaid
AZ708315Medicaid
AZZ12997Medicare PIN
NV970026602OtherRAILROAD MEDICARE
NV2402203Medicaid