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

Jake Gifford

Individual provider Medical Physician Assistant · NPI 1922675321

Jake Gifford is a Physician Assistant in Henderson, Nevada. Qualified in 2021, 5 years ago. Practices with Dignity Health Medical Group Nevada LLC, a 124-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
5
Licensed in
NV
In the registry since
2021
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Practice location Address checks out

3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone: (702) 616-5615
Fax: (702) 616-5120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8280 W Warm Springs Rd, Las Vegas, NV 89113-3612 — (702) 492-8614

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA3131 (NV)

Record details

NPI number1922675321
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 6, 2021
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025
Mailing addressPo Box 33269, Phoenix, AZ 85067-3269

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Dignity Health Medical Group Nevada Llc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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