Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508946294 Individual Practitioner Male Practitioner

Jose G Mangrobang , PA-C

Physician Assistant • Nellis Afb, NV

Professional Overview & Biography Verified Profile Summary

Jose Mangrobang, PA-C is a registered healthcare professional specializing in Physician Assistant in Nellis Afb, NV. Practice services are available at 4700 LAS VEGAS BLVD N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4700 Las Vegas Blvd N

Nellis Afb, NV 891916600

Telephone 7026532764
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Nellis Afb, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.9 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
33 Specialists

Practicing in Nellis Afb, NV (1097 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NV PA1565

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Noel Colls , MD

Family Medicine

NPI 1083875546

Doctor of Medicine (M.D.)

Dr. Erin Reddis , DO

Family Medicine - Adult Medicine

NPI 1114368024

Doctor of Osteopathic Medicine (D.O.)

Dr. Steven Francis , MD

Preventive Medicine - Aerospace Medicine

NPI 1417253345

Doctor of Medicine (M.D.)

Dr. Michael Koroscil , MD

Emergency Medicine

NPI 1457658544

Doctor of Medicine (M.D.)

Dr. Eric Brunk , DO

Preventive Medicine - Aerospace Medicine

NPI 1972958700

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 17, 2019

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026532764)

📍
Updated Business Mailing Address June 17, 2019

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026532764)

👤
Provider Name / Credentials Updated June 17, 2019

Recorded as JOSE MANGROBANG, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2019

Physician Assistant (License #PA1565 in NV)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 739 GOLDEN SANDS PL, SAN DIEGO, CA 921548440 (Tel: 6192070458)

📍
Updated Business Mailing Address July 08, 2007

Registered at 739 GOLDEN SANDS PL, SAN DIEGO, CA 921548440 (Tel: 6192070458)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOSE MANGROBANG, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508946294
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: June 17, 2019
Sole Proprietor: No

Mailing Address

4700 Las Vegas Blvd N

Nellis Afb, NV 891916600

Phone: 7026532764

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.