A Nicknam PC

A Nicknam PC is a healthcare organization registered as Family Medicine Physician in Las Vegas, NV, holding Type 2 (organization) NPI 1659501302 since 2009. The authorized official on file is Amir Nicknam, President.

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NPI	1659501302
Entity type	Organization (Type 2)
Legal business name	A Nicknam PC
Practice address	1712 BEARDEN DR, Las Vegas, NV, 89106
Phone	7027336622
Fax	7023826622
Enumeration date	2009-07-15
Last updated in NPPES	2013-12-31

Authorized official

Name	Amir Nicknam
Title	President
Phone	7027336622

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207Q00000X	Family Medicine Physician	Primary	11368	NV

Other identifiers

Identifier	Type	State	Issuer
CP615A	Other	NV	MEDICARE PTAN
1659501302	Medicaid	NV	—

Copy-ready billing details

Provider: A Nicknam PC
NPI: 1659501302
Taxonomy: 207Q00000X (Family Medicine Physician)
Address: 1712 BEARDEN DR, Las Vegas, NV, 89106

Verify this record

Cross-check NPI 1659501302 against the authoritative CMS record: view A Nicknam PC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is A Nicknam PC located?

The practice location on file with NPPES is in Las Vegas, NV.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-12-31. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-12-31.