IndividualActive
Jake Bendicion, PA-C
NPI 1215508551 · Surgical Physician Assistant · Las Vegas, NV
Provider details
- NPI number
- 1215508551
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA0595 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6190 S Fort Apache Rd
Las Vegas, NV 89148-6702
Phone: (702) 485-5885
Fax: (888) 593-7092
Approximate (ZIP-level) locationGet directions
Mailing address
6190 S Fort Apache Rd
Las Vegas, NV 89148-6702
Registry dates
- Enumerated
- 2021-07-07
- Last updated
- 2026-04-03
- Certified
- 2026-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.