NEVADA CHILDREN'S CLINIC (NPI# 1508055260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508055260 |
| Entity Type | Organization |
| Organization Name | NEVADA CHILDREN'S CLINIC |
| Other Organization Name | BRIGHT FUTURES PEDIATRICS |
| Practice Address |
8352 W Warm Springs Rd Suite 210 Las Vegas NV 89113-3628 |
| Mailing Address |
8352 Warm Springs Road Suite 210 Las Vegas NV 89113 |
| Practice Telephone | 7029444028 |
| Practice Fax Number | 7029444019 |
| Mailing Telephone | 7029444028 |
| Mailing Fax Number | 7029444019 |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2010-05-25 |
| Authorized Official Name | RAVI KRISHNAN (PRESIDENT) |
| Authorized Official Telephone | 7029444028 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bright Futures Pediatrics | Doing Business As Name - Organization |
| Street Address |
8352 W WARM SPRINGS RD SUITE 210 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89113-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174649586 | Rosalie S Kalili | Pediatrics | 8352 W Warm Springs Rd, Suite 210, Las Vegas, NV 89113-3628 | 2007-03-21 |
| 1164890513 | Barclay, Luke & Pillai Specialty Pharmacy, Pllc | Pharmacy | 8352 W Warm Springs Rd, Suite 120, Las Vegas, NV 89113-3628 | 2015-09-02 |
| 1578980421 | Sunset Ridge Surgery Center, LLC | Clinic/Center | 8352 W Warm Springs Rd, Suite 110, Las Vegas, NV 89113-3628 | 2014-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951121 | Trang Thu Tran | Pharmacist | 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 | 2020-10-30 |
| 1457966293 | Cory Alexander Stattelman | Physical Medicine & Rehabilitation | 5575 N Durango Dr Suite 111, Las Vegas, NV 89113 | 2020-09-09 |
| 1477170801 | Hailey Eileen Wilson | Behavior Technician | 5575 S Durango Dr #102, Las Vegas, NV 89113 | 2020-07-01 |
| 1295385078 | Dominica Zaragoza | Technician | 711 S. Durango Dr, Las Vegas, NV 89113 | 2019-09-13 |
| 1831742758 | Lyass PC A Professional Medical Corp | Clinic/Center | 5950 S. Durgango Dr, Suite 100, Las Vegas, CA 89113 | 2019-07-19 |
| 1932679529 | Kiara Hayden | Rehabilitation Practitioner | 5509 Lonesome Biker Lane, Las Vegas, NV 89113 | 2018-11-27 |
| 1437631876 | James Eugene Hightower | Community Health Worker | 7455 Arroyo Crossing Pkwy Suite 220, Las Vegas, NV 89113 | 2018-09-01 |
| 1356822282 | Warda Ali | Nurse Practitioner | 8738 Pinley Spring St, Las Vegas, NV 89113 | 2018-08-28 |
| 1063992949 | Endure Recovery Services LLC | Counselor | 3087 E. Warm Srpings, Suite 200, Las Vegas, NV 89113 | 2018-08-20 |
| 1134635097 | Mivip Regional Surgery Center | Clinic/Center | 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 | 2017-12-14 |
| Find all providers in zip 89113 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154548410 | Jose Rodriquez Simpao Jr. | Pediatrics | 6850 N Durango Dr Ste 120, Las Vegas, NV 89149-4596 | 2007-04-19 |
| 1548664386 | University of Nv School of Medicine Multi-specialty Group South | Pediatrics | 1524 Pinto Ln, 3rd Floor, Las Vegas, NV 89106-4195 | 2014-10-21 |
| 1033436621 | University of Nv School Multispecialty Group Practice South Inc | Pediatrics | 3006 S Maryland Pkwy, 320, Las Vegas, NV 89109-2218 | 2010-04-23 |
| 1477632685 | Rosalita C Jurani | Pediatrics | 633 N Decatur Blvd, Suite A, Las Vegas, NV 89107-1943 | 2006-11-06 |
| 1952342891 | Renu S Batra | Pediatrics | 3650 S Eastern Ave, # 230, Las Vegas, NV 89109-3379 | 2006-06-10 |
| 1194787002 | David Hanlon Barton | Pediatrics | 1524 Pinto Ln, Las Vegas, NV 89106-4195 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659457935 | Michael L. Levin | Pediatrics | 220 E Horizon Dr Ste A, Henderson, NV 89015-8001 | 2006-10-28 |
| 1114003498 | Marcy A. Kulic | Pediatrics | 600 Whitney Ranch Dr Ste A1, Henderson, NV 89014-2631 | 2006-10-28 |
| 1245527753 | Patrick J Colletti | Pediatrics | 1001 Jones St, Reno, NV 89503-5512 | 2011-07-05 |
| 1154613289 | Bejal Patel | Pediatrics | 901 E 2nd St, Ste 201, Reno, NV 89502-1175 | 2011-05-08 |
| 1144489535 | Univy of Nv School of Medicine Multispecialty Group Practice North Inc | Pediatrics | 75 Pringle Way, 909, Reno, NV 89502-1464 | 2008-06-02 |
| 1649371600 | Colletti Md PC | Pediatrics | 1001 Jones St, Reno, NV 89503-5512 | 2006-09-25 |
| 1902873755 | Shaji O Mathew | Pediatrics | 75 Pringle Way, Suite 706, Reno, NV 89502-1464 | 2006-03-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.