A Nicknam PC
NPI 1659501302 · Family Medicine Physician · Las Vegas, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
A Nicknam PC is a Family Medicine Physician organization in Las Vegas, NV (NPI 1659501302).
Provider details
- NPI number
- 1659501302
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amir Nicknam, President(702) 733-6622
- License
- 11368 (NV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2009-07-15
- Last updated
- 2013-12-31
Frequently asked questions
- What is A Nicknam PC's NPI number?
- A Nicknam PC's National Provider Identifier (NPI) is 1659501302, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is A Nicknam PC?
- A Nicknam PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is A Nicknam PC located?
- A Nicknam PC's practice location on file with NPPES is 1712 Bearden Dr, Las Vegas, NV 89106-4107.
- What is A Nicknam PC's phone number?
- The practice phone number listed in the NPPES registry for A Nicknam PC is (702) 733-6622.
- Does A Nicknam PC accept Medicare?
- A Nicknam PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for A Nicknam PC?
- The authorized official listed on A Nicknam PC's NPPES record is Amir Nicknam, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is A Nicknam PC's NPI active?
- Yes — A Nicknam PC's NPI (1659501302) is active in the NPPES registry as of the last update on 2013-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.