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

Individual provider Physician Assistant · NPI 1386744126

Michael J Mangiaracina, PA-C is a Physician Assistant in Las Vegas, Nevada. Qualified in 2004, 22 years ago. Practices with Tahoe Forest Hospital District, a 142-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
22
Licensed in
NV
In the registry since
2006
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

9550 S Eastern Ave Ste 253
Las Vegas, NV 89123-8042
Phone: (888) 803-3370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10956 Donner Pass Rd Ste 110, Truckee, CA 96161-4860 — (530) 550-6748

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA892 (NV)

Record details

NPI number1386744126
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Tahoe Forest Hospital District — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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