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

Dennis Fajardo, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1083378657

Dennis Fajardo, PHYSICIANASSISTANT is a Medical Physician Assistant in Las Vegas, Nevada. Practices as a sole proprietor and works from 2 locations. Licensed in California and Nevada.

Licensed in
CA, NV
In the registry since
2021
Specialties on file
2

Practice location Address checks out

330 S Casino Center Blvd
Las Vegas, NV 89101-6102
Phone: (702) 671-5638
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1307 W 6th St Ste 105, Corona, CA 92882-1644 — (888) 873-6220

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2469 (NV)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA60732 (CA)

Record details

NPI number1083378657
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedOctober 28, 2021
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024

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