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

Individual provider Physician Assistant · NPI 1497757181

Todd A Radivan, PA-C is a Physician Assistant in Las Vegas, Nevada. Qualified in 1994, 32 years ago. Practices with Babak Hooshmand MD PLLC, a 16-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
32
Licensed in
NV
In the registry since
2005
Specialties on file
2
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
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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 PA2007 (NV)
Physician Assistant Taxonomy 363A00000X · Licence PA2007 (NV)

Record details

NPI number1497757181
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 11, 2005
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Babak Hooshmand Md Pllc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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