Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Allen Park, PA-C

Individual provider Physician Assistant · NPI 1548714181

Allen Park, PA-C is a Physician Assistant in Las Vegas, Nevada. Qualified in 2016, 10 years ago. Practices with Medtrans Behavioral Nevada Casal PLLC, a 56-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
10
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone: (815) 325-1699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1548714181
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 11, 2016
Last updated in NPPESAugust 11, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Medtrans Behavioral Nevada Casal Pllc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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