Dennis Fajardo, PHYSICIAN ASSISTANT
NPI 1083378657 · Medical Physician Assistant · Las Vegas, NV
Enrolled with Medicare as Order and Referring Only - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dennis Fajardo, PHYSICIAN ASSISTANT is a Medical Physician Assistant provider in Las Vegas, NV (NPI 1083378657).
Provider details
- NPI number
- 1083378657
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA60732 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1307 W 6th St Ste 105Corona, CA 92882-1644Phone: (888) 873-6220
Registry dates
- Enumerated
- 2021-10-28
- Last updated
- 2024-05-24
- Certified
- 2024-05-24
Frequently asked questions
- What is Dennis Fajardo's NPI number?
- Dennis Fajardo's National Provider Identifier (NPI) is 1083378657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dennis Fajardo's specialty?
- Dennis Fajardo is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dennis Fajardo located?
- Dennis Fajardo's practice location on file with NPPES is 330 S Casino Center Blvd, Las Vegas, NV 89101-6102.
- What is Dennis Fajardo's phone number?
- The practice phone number listed in the NPPES registry for Dennis Fajardo is (702) 671-5638.
- Does Dennis Fajardo accept Medicare?
- Dennis Fajardo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dennis Fajardo's NPI active?
- Yes — Dennis Fajardo's NPI (1083378657) is active in the NPPES registry as of the last update on 2024-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.