{"npi":"1285973289","type":"NPI-1","status":"active","name":{"display":"Jesus Corn Sotelo PA-C","other":[{"code":"1","type":"Formerly known as","value":"CORN, JESUS ANGEL"}],"first":"JESUS","last":"CORN SOTELO","middle":"ANGEL","credential":"PA-C"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"NV","license":"PA1422"}]},"addresses":[{"purpose":"LOCATION","street_1":"6355 S BUFFALO DR FL 3","city":"LAS VEGAS","state":"NV","postal_code":"891132133","country_code":"US","phone":"7022163346","fax":"7026716883"},{"purpose":"MAILING","street_1":"6355 S BUFFALO DR FL 3","city":"LAS VEGAS","state":"NV","postal_code":"891132133","country_code":"US","phone":"7022163346","fax":"7026716883"}],"license":{"state":"NV","number":"PA1422"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1285973289","state":"NV","issuer":null},{"type_code":"01","label":"Other","value":"PA1422","state":"NV","issuer":"STATE LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130522000493","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NV","pac_id":"0749428258"}]},"enumeration_date":"2013-02-11","last_updated":"2022-11-15","_meta":{"source":"NPPES","snapshot_date":"2022-11-15","doc_url":"https://findmynpi.com/api"}}