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

Individual provider Medical Physician Assistant · NPI 1720228612

Mrs. Jessica E Radivan, PA-C is a Physician Assistant in Las Vegas, Nevada. Qualified in 2008, 18 years ago. Practices with Babak Hooshmand MD PLLC, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
18
Licensed in
NV
In the registry since
2009
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

888 S Rancho Dr
Las Vegas, NV 89106-3810
Phone: (702) 877-8600
Fax: (702) 258-6152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA1146 (NV)

Record details

NPI number1720228612
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 5, 2009
Last updated in NPPESJanuary 23, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Babak Hooshmand Md Pllc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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